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DR. EUNHAE PARK KWON D.D.S
NPI 1285867721
Dentist - Pediatric Dentistry in Menlo Park, CA

Active since September 01, 2009PECOS Enrolled
90 MIDDLEFIELD RD STE 1, MENLO PARK, CA 94025(650) 323-0264 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eunhae Park Kwon D.d.s NPPES

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

DR. EUNHAE PARK KWON D.D.S (NPI 1285867721) is an individual pediatric dentistry provider in Menlo Park, California, licensed in California (60120) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285867721
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. EUNHAE PARK KWONCredential: D.D.S
Location Address90 MIDDLEFIELD RD STE 1Menlo Park, CA 94025-4001
Mailing Address90 Middlefield Rd Ste 1Menlo Park, CA 94025-4001 · (415) 439-9444 · Fax (650) 323-0270
Phone(650) 323-0264
Sole ProprietorNo
Enumeration DateSeptember 1, 2009
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1285867721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CA · 60120✔ Licensed in MA · 10625
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 ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 60120 (CA)
90 MIDDLEFIELD RD STE 1, Menlo Park, CA 94025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. Eunhae Park Kwon D.d.s 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 Eunhae Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lpch Medical Group Div Of Lucile
1.4 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762

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 94025 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

DR. PARDIS LIPKIN FARHADIAN DDS, MS
Dentist (Pediatric Dentistry)
90 MIDDLEFIELD RD STE 1
MENLO PARK, CA 94025
San Mateo County (650) 323-0264

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 Eunhae Kwon's NPI number?

The NPI number for Eunhae Kwon is 1285867721. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Eunhae Kwon located?

Eunhae Kwon practices at 90 Middlefield Rd Ste 1, Menlo Park, CA 94025. The listed phone number is (650) 323-0264.

What is Eunhae Kwon's specialty?

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

Is Eunhae Kwon enrolled in Medicare?

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

Which organization bills Medicare for Eunhae Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eunhae Kwon reassigns Medicare benefits to Lpch Medical Group Div Of Lucile (Palo Alto, CA). 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 Eunhae Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eunhae Kwon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Eunhae 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 Eunhae Kwon was last updated on June 14, 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.