JESSICA KWON
NPI 1043731433
Dentist - Pediatric Dentistry in San Jacinto, CA

Q: What is Jessica Kwon's NPI number?

The NPI number for Jessica Kwon is 1043731433. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Jessica Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kwon was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2017

1643 S SAN JACINTO AVE STE A, SAN JACINTO, CA 92583(951) 654-7744 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2022, Nov 10, 2021, Oct 1, 2021 and 2 more (5 updates tracked since 2017).

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About Jessica Kwon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KWON (NPI 1043731433) is an individual pediatric dentistry provider in San Jacinto, California, licensed in California (101510) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1043731433

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameJESSICA KWON

Location Address1643 S SAN JACINTO AVE STE ASan Jacinto, CA 92583-5181

Mailing Address421 S Ash StRedlands, CA 92373-5859

Phone(951) 654-7744

Sole ProprietorNo

Enumeration DateJuly 6, 2017

Last NPPES UpdateJune 8, 20225 updates tracked since enumeration

NPPES CertifiedJune 8, 2022

✔ NPI 1043731433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 101510

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1643 S SAN JACINTO AVE STE A, San Jacinto, CA 92583

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Kwon's NPI number?

The NPI number for Jessica Kwon is 1043731433. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Jessica Kwon located?

Jessica Kwon practices at 1643 S San Jacinto Ave Ste A, San Jacinto, CA 92583. The listed phone number is (951) 654-7744.

What is Jessica Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jessica Kwon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jessica Kwon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Kwon was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.