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YOUNG HAN KWON DMD, MD
NPI 1477081941
Dentist - Oral and Maxillofacial Surgery in Santa Clara, CA

Active since May 30, 2017PECOS Enrolled
710 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: June 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2023, Jul 21, 2022, May 30, 2017 (3 updates tracked since 2017).

About Young Han Kwon Dmd, Md NPPES

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

YOUNG HAN KWON DMD, MD (NPI 1477081941) is an individual oral and maxillofacial surgery provider in Santa Clara, California, licensed in California (A183091) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477081941
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameYOUNG HAN KWONCredential: DMD, MD
Location Address710 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address1186 Spruance StSan Jose, CA 95128-4244
Phone(408) 851-1000
Sole ProprietorNo
Enumeration DateMay 30, 2017
Last NPPES UpdateJune 11, 20233 updates tracked since enumeration
NPPES CertifiedJune 11, 2023
✔ NPI 1477081941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · A183091
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedSurgeryTaxonomy 208600000X · License A183091 (CA)
710 LAWRENCE EXPY, Santa Clara, CA 95051
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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)

Young Han Kwon Dmd, Md 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 95051 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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.

MRS. SHARLENE JUNIO MADANES N.P.
Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3829
ELLEN CHINCHILLI MD
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817
SWARNA L KONERU RD
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
MRS. BRIDGET M. BOUYSSOUNOUSE P.T.
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1466
FLAIR D. GOLDMAN DPM
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 236-6400
MR. KRISNA P CHAI M.D.
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
KARISSA TAAN MPT
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1492
ANDREA B. HUTCHINSON MD
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000

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 Young Han Kwon's NPI number?

The NPI number for Young Han Kwon is 1477081941. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Young Han Kwon located?

Young Han Kwon practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.

What is Young Han Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Young Han Kwon enrolled in Medicare?

Yes. Young Han Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Young Han Kwon was last updated on June 11, 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.