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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MI AE KWON D.M.D.
NPI 1093198160
Dentist - Pediatric Dentistry in Riverview, FL

Active since July 07, 2015
11246 SULLIVAN ST, RIVERVIEW, FL 33578(813) 530-0111 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Nov 9, 2018 (2 updates tracked since 2018).

About Ms. Mi Ae Kwon D.m.d. NPPES

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

MS. MI AE KWON D.M.D. (NPI 1093198160) is an individual pediatric dentistry provider in Riverview, Florida, licensed in Florida (DN21519) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1093198160
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameMS. MI AE KWONCredential: D.M.D.
Location Address11246 SULLIVAN STRiverview, FL 33578-2140
Mailing Address11246 Sullivan StRiverview, FL 33578-2140 · (813) 530-0111
Phone(813) 530-0111
Sole ProprietorNo
Enumeration DateJuly 7, 2015
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1093198160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN21519
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11246 SULLIVAN ST, Riverview, FL 33578
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATIE PARK SIEGEL DDS
Dentist (Pediatric Dentistry)
11246 SULLIVAN ST
RIVERVIEW, FL 33578
Hillsborough County (813) 530-0111
DR. JENNY EDWARDS LYNN DMD
Dentist (Pediatric Dentistry)
11246 SULLIVAN ST
RIVERVIEW, FL 33578
Hillsborough County (813) 530-0111

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 Mi Ae Kwon's NPI number?

The NPI number for Mi Ae Kwon is 1093198160. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Mi Ae Kwon located?

Mi Ae Kwon practices at 11246 Sullivan St, Riverview, FL 33578. The listed phone number is (813) 530-0111.

What is Mi Ae Kwon's specialty?

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

What insurance does Mi Ae Kwon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 3 other insurers list Mi Ae 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 Mi Ae Kwon was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.