Kwon DDS Professional Corporation
NPI 1881021434 · Dentist · Perris, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kwon DDS Professional Corporation is a Dentist organization in Perris, CA (NPI 1881021434).
Provider details
- NPI number
- 1881021434
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Kwon DDS Professional Corporation
- Organization subpart
- Yes
- Authorized official
- Oh Jae Kwon, President(951) 322-4058
- License
- 46484 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mead Valley Community Dental Clinic
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2017-02-10
Frequently asked questions
- What is Kwon DDS Professional Corporation's NPI number?
- Kwon DDS Professional Corporation's National Provider Identifier (NPI) is 1881021434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kwon DDS Professional Corporation?
- Kwon DDS Professional Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kwon DDS Professional Corporation located?
- Kwon DDS Professional Corporation's practice location on file with NPPES is 21091 Rider St, Perris, CA 92570-8878.
- What is Kwon DDS Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Kwon DDS Professional Corporation is (951) 322-4058.
- Does Kwon DDS Professional Corporation accept Medicare?
- Kwon DDS Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kwon DDS Professional Corporation?
- The authorized official listed on Kwon DDS Professional Corporation's NPPES record is Oh Jae Kwon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kwon DDS Professional Corporation's NPI active?
- Yes — Kwon DDS Professional Corporation's NPI (1881021434) is active in the NPPES registry as of the last update on 2017-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.