JINSAM KWON
NPI 1306981022
Dentist - General Practice in Puyallup, WA

Active since February 20, 2007
16515 MERIDIAN E, SUITE 100B, PUYALLUP, WA 98375(253) 770-0198(253) 770-1166 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jinsam Kwon NPPES

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

JINSAM KWON (NPI 1306981022) is an individual general practice provider in Puyallup, Washington, licensed in Washington (9983) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306981022
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJINSAM KWON
Location Address16515 MERIDIAN E, SUITE 100BPuyallup, WA 98375-6251
Mailing Address16515 Meridian E, Suite 100bPuyallup, WA 98375-6251 · (253) 770-0198 · Fax (253) 770-1166
Fax(253) 770-1166
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1306981022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 9983
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.
16515 MERIDIAN E, Puyallup, WA 98375

Accepted Insurance

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.

Physical Therapist
16515 MERIDIAN E, STE 202B
PUYALLUP, WA 98375
Massage Therapist
16515 MERIDIAN E
PUYALLUP, WA 98375
Community Health Worker
16515 MERIDIAN E
PUYALLUP, WA 98375
Family Medicine
16515 MERIDIAN E, SUITE 104A
PUYALLUP, WA 98375
Durable Medical Equipment & Medical Supplies
16515 MERIDIAN E, SUITE 203B
PUYALLUP, WA 98375
Physical Therapist
16515 MERIDIAN E, SUITE 202B
PUYALLUP, WA 98375
Physical Therapist
16515 MERIDIAN E, STE 202B
PUYALLUP, WA 98375
Family Medicine
16515 MERIDIAN E, SUITE 104A
PUYALLUP, WA 98375

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 Jinsam Kwon's NPI number?

The NPI number for Jinsam Kwon is 1306981022. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Jinsam Kwon located?

Jinsam Kwon practices at 16515 Meridian E Suite 100B, Puyallup, WA 98375. The listed phone number is (253) 770-0198.

What is Jinsam Kwon's specialty?

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

What insurance does Jinsam Kwon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jinsam 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 Jinsam Kwon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.