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DR. TAE HYUN KWON DDS
NPI 1760761563
Dentist - Periodontics in Keene, NH

Active since August 10, 2011PECOS Enrolled
819 COURT ST UNIT A, KEENE, NH 03431(603) 215-5800 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tae Hyun Kwon Dds NPPES

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

DR. TAE HYUN KWON DDS (NPI 1760761563) is an individual periodontics provider in Keene, New Hampshire, licensed in New Hampshire (04034) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760761563
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TAE HYUN KWONCredential: DDS
Location Address819 COURT ST UNIT AKeene, NH 03431-1773
Mailing Address819 Court St Unit AKeene, NH 03431-1773 · (603) 215-5800
Phone(603) 215-5800
Sole ProprietorNo
Enumeration DateAugust 10, 2011
Last NPPES UpdateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1760761563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NH · 04034
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
819 COURT ST UNIT A, Keene, NH 03431
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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. Tae Hyun Kwon Dds 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 03431 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONADNOCK PERIO & IMPLANT CENTER
Dentist (Periodontics)
819 COURT ST UNIT A
KEENE, NH 03431
Cheshire County (603) 215-5800

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 Tae Hyun Kwon's NPI number?

The NPI number for Tae Hyun Kwon is 1760761563. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Where is Tae Hyun Kwon located?

Tae Hyun Kwon practices at 819 Court St Unit A, Keene, NH 03431. The listed phone number is (603) 215-5800.

What is Tae Hyun Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Tae Hyun Kwon enrolled in Medicare?

Yes. Tae Hyun Kwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tae Hyun Kwon was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.