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SUN DENTAL
NPI 1356029433
Dentist - General Practice in Indio, CA

Active since July 07, 2023
82935 AVENUE 48 STE 103, INDIO, CA 92201(909) 576-7175 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Jul 7, 2023 (2 updates tracked since 2023).

About Sun Dental NPPES

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

SUN DENTAL (NPI 1356029433) is a healthcare organization registered as a general practice in Indio, California and active in the NPI registry since July 2023. The organization lists Oh Jae Kwon, President, as its authorized official.

NPPES Registry Identity

NPI1356029433
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameO. KWON DENTAL CORPORATION
Location Address82935 AVENUE 48 STE 103Indio, CA 92201-6757
Mailing Address9675 Monte Vista Ave Ste GMontclair, CA 91763-2213 · (909) 576-7175
Phone(909) 576-7175
Organization SubpartNo
Authorized OfficialOh Jae KwonPresident · (909) 576-7175
Enumeration DateJuly 7, 2023
Last NPPES UpdateSeptember 22, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2023
✔ NPI 1356029433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
82935 AVENUE 48 STE 103, Indio, CA 92201
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Other Names 1

Doing Business AsSun Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sun Dental, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Shefali Patel, DMD
Dentist
NPI 1932394806
1035 W RAMSEY ST SUITE B-2
Banning, CA 92220
(714) 322-5021
✔ PECOS42 mi
Johnny Shammo, D.D.S.
Dentist
NPI 1114182938
11261 EXETER ST APT F
Loma Linda, CA 92354
(909) 583-4224
✔ PECOS64 mi
Oh Kwon, DDS
Dentist
NPI 1972576866
9939 MAGNOLIA AVE
Riverside, CA 92503
(951) 588-5600
✔ PECOS73 mi
Shaghayegh Ghobadi, DMD
Dentist
NPI 1588542740
22451 BAYBERRY
Mission Viejo, CA 92692
(949) 994-2014
✔ PECOS82 mi

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

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 O. Kwon Dental Corporation's NPI number?

The NPI number for O. Kwon Dental Corporation is 1356029433. It was assigned to this organization in the NPPES registry on July 7, 2023. The provider is doing business as Sun Dental.

Where is O. Kwon Dental Corporation located?

O. Kwon Dental Corporation is located at 82935 Avenue 48 Ste 103, Indio, CA 92201. The listed phone number is (909) 576-7175.

What is O. Kwon Dental Corporation's specialty?

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

Is O. Kwon Dental Corporation enrolled in Medicare?

Yes. O. Kwon Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through O. Kwon Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dentist, reassign their Medicare billing to O. Kwon Dental Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does O. Kwon Dental Corporation accept?

Health plans from UnitedHealthcare list O. Kwon Dental Corporation 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 O. Kwon Dental Corporation was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.