Kwon DDS Professional Corporation
NPI 1881021434ActiveOrganization· Dentist· Perris, CA
Dentist in Perris, California, registered in NPPES in September 2013, part of Kwon DDS Professional Corporation. The authorized official on file is Oh Jae Kwon, DDS, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881021434 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kwon DDS Professional Corporation |
| NPI issued | Sep 27, 2013 |
| Last updated in NPPES | Feb 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 46484 | CA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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