Gae Won Kwon, DDS
NPI 1649689704ActiveIndividual· Dentist, Pediatric Dentistry· Las Cruces, NM
Dentist, Pediatric Dentistry (DDS) in Las Cruces, New Mexico, licensed in WA, PA and NM, with an NPI issued in August 2014.
Overview
| NPI | 1649689704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 3, 2014 |
| Last updated in NPPES | Nov 10, 2022 |
| Certified by provider | Nov 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | DE.61294850 | WA |
| Dentist, General Practice | 1223G0001X | DS040063 | PA |
| Dentist, Pediatric Dentistry | 1223P0221X | DD5471 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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