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SOON M KWON DMD
NPI 1194984773
Dentist - Pediatric Dentistry in Bronx, NY

Active since June 09, 2008PECOS Enrolled
234 E 149TH ST, BRONX, NY 10451(718) 579-5000 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Soon M Kwon Dmd NPPES

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

SOON M KWON DMD (NPI 1194984773) is an individual pediatric dentistry provider in Bronx, New York, licensed in New York (055964) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Southport.

NPPES Registry Identity

NPI1194984773
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSOON M KWONCredential: DMD
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address234 E 149th StBronx, NY 10451-5504 · (718) 579-5000
Phone(718) 579-5000
Sole ProprietorNo
Enumeration DateJune 9, 2008
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1194984773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NY · 055964✔ Licensed in CT · 10769
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.
234 E 149TH ST, Bronx, NY 10451
Open in Google Maps ↗

Secondary Practice Location 1

Location 18 John StSouthport, CT 06890-1437 · Phone (203) 319-1300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soon M Kwon Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Soon Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Downtown Bronx Medical Associates PC
Same address
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
NPI 1689618407 (718) 576-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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 Soon Kwon's NPI number?

The NPI number for Soon Kwon is 1194984773. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Soon Kwon located?

Soon Kwon practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Soon Kwon's specialty?

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

Is Soon Kwon enrolled in Medicare?

Yes. Soon Kwon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soon Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soon Kwon reassigns Medicare benefits to Downtown Bronx Medical Associates PC (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soon Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soon Kwon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 1 other insurer list Soon 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 Soon Kwon was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.