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DR. TAEK JOON KWON DMD
NPI 1306681481
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since June 28, 2024PECOS Enrolled
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2024, Jun 28, 2024 (2 updates tracked since 2024).

About Dr. Taek Joon Kwon Dmd NPPES

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

DR. TAEK JOON KWON DMD (NPI 1306681481) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14142) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306681481
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TAEK JOON KWONCredential: DMD
Location Address263 FARMINGTON AVENUEFarmington, CT 06030
Mailing Address10 Talcott Ridge Rd, Unit HFramington, CT 06032 · (959) 261-8358
Phone(860) 679-2000
Sole ProprietorNo
Enumeration DateJune 28, 2024
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1306681481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 14142
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVENUE, Farmington, CT 06030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Taek Joon 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.

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.

STATE OF CONNECTICUT
Psychiatric Unit
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2916
DR. PETER J ROBINSON DDS
Dentist (Periodontics)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8071
DR. FLAVIO URIBE D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3170
DR. SARITA ARTEAGA D.M.D.
Dentist (General Practice)
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3170
DR. PATCHANEE RUNGRUANGANUNT D.D.S.
Dentist (Prosthodontics)
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3170
DR. RAVINDRA NANDA D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3170
DR. THEODORA VOGIATZI D.D.S.
Dentist (Prosthodontics)
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3170
DR. KAMRAN SAFAVI D.M.D
Dentist (Endodontics)
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3170

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 Taek Joon Kwon's NPI number?

The NPI number for Taek Joon Kwon is 1306681481. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Taek Joon Kwon located?

Taek Joon Kwon practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (860) 679-2000.

What is Taek Joon Kwon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taek Joon Kwon enrolled in Medicare?

Yes. Taek Joon Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taek Joon Kwon was last updated on July 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.