KYOUNG WHAN KWAK D.D.S.
NPI 1306035746
Dentist - General Practice in Los Angeles, CA

Q: What is Kyoung Kwak's NPI number?

The NPI number for Kyoung Kwak is 1306035746. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Kyoung Kwak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kyoung Kwak was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 22, 2007PECOS Enrolled

981 S WESTERN AVE, SUITE 200A, LOS ANGELES, CA 90006(323) 731-0707(323) 731-0729 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kyoung Whan Kwak D.d.s. NPPES

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

KYOUNG WHAN KWAK D.D.S. (NPI 1306035746) is an individual general practice provider in Los Angeles, California, licensed in California (56261) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306035746

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKYOUNG WHAN KWAKCredential: D.D.S.

Location Address981 S WESTERN AVE, SUITE 200ALos Angeles, CA 90006-1005

Mailing Address981 S Western Ave, Suite 200aLos Angeles, CA 90006-1005 · (323) 731-0707 · Fax (323) 731-0729

Phone(323) 731-0707

Fax(323) 731-0729

Sole ProprietorYes

Enumeration DateOctober 22, 2007

Last NPPES UpdateNovember 9, 2010

✔ NPI 1306035746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 56261

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

981 S WESTERN AVE, Los Angeles, CA 90006

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Other Identifiers 1

MedicaidD56261CA

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 Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyoung Whan Kwak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Kyoung Kwak's NPI number?

The NPI number for Kyoung Kwak is 1306035746. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Kyoung Kwak located?

Kyoung Kwak practices at 981 S Western Ave Suite 200A, Los Angeles, CA 90006. The listed phone number is (323) 731-0707.

What is Kyoung Kwak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kyoung Kwak enrolled in Medicare?

Yes. Kyoung Kwak is registered in the Medicare PECOS enrollment system.

What insurance does Kyoung Kwak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kyoung Kwak 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 Kyoung Kwak was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.