O.J Kwon Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

46484 Issued in CA

Legal business name

O.J KWON DENTAL CORPORATION

Practice address

9675 Monte Vista Ave
Suite G
Montclair, CA 91763-2233

Phone

(909) 576-7175

NPI assigned

Mar 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Oh Jae Kwon, DDS

Title

President

Phone

(909) 576-7175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oh Jae Kwon, DDS

  • Dentist
  • Riverside, CA
  • NPI 1972576866
  Medicare reassignment NPD
• Michael Yang, DDS

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1578035333
  Medicare reassignment NPD
• Loan Phuong Dao, DDS

  • Dentist
  • Glendora, CA
  • NPI 1366655524
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1972044337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE",
            "address_2": "SUITE G",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632233",
            "telephone_number": "909-576-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE",
            "address_2": "SUITE G",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632233",
            "telephone_number": "909-576-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.J KWON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OH JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-576-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Niebla
• Jeimy O Nolasco
• Nordstrom Inc & Subsidiaries
• Brianna Nuno
• Nurses R Angels Hospice
• Mary O'Brien
• Mandel Wilson O'Neil I
• Edgar Adrian Obando
• Celestine Obinna
• Evelyn Ocampo

• Dentist in Montclair, CA
• Providers in Montclair, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.