YOUNG HAN KWON DMD, MD
NPI 1477081941
Dentist - Oral and Maxillofacial Surgery in Santa Clara, CA
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 and is a graduate of University Of Michigan Medical School (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Young Han Kwon Dmd, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Young Han Kwon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Young Han Kwon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Young Han Kwon reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Young Han Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Young Han Kwon, DMD, MD · NPI 1477081941
Oral and Maxillofacial Surgery provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since May 30, 2017.
## Identity
- **NPI:** 1477081941 (Entity type: Individual)
- **Enumerated:** May 30, 2017
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** A183091 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (408) 851-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2020
## Record status
- **NPPES last updated:** June 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477081941) · Data from the CMS NPPES public registry.