KELLY J HWANG D.D.S.
NPI 1790030633
Dentist in Lake Elsinore, CA

Q: What is Kelly Hwang's NPI number?

The NPI number for Kelly Hwang is 1790030633. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Q: What is Kelly Hwang's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Hwang was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 17, 2012PECOS Enrolled

141 N MAIN ST, LAKE ELSINORE, CA 92530(951) 245-5003(951) 471-0637 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly J Hwang D.d.s. NPPES

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

KELLY J HWANG D.D.S. (NPI 1790030633) is an individual dentist in Lake Elsinore, California, licensed in California (61930) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790030633

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKELLY J HWANGCredential: D.D.S.

Location Address141 N MAIN STLake Elsinore, CA 92530-4118

Mailing Address141 N Main StLake Elsinore, CA 92530-4118 · (951) 245-5003

Phone(951) 245-5003

Fax(951) 471-0637

Sole ProprietorNo

Enumeration DateJuly 17, 2012

Last NPPES UpdateFebruary 12, 2016

✔ NPI 1790030633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 61930✔ Licensed in TX · 28225

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

141 N MAIN ST, Lake Elsinore, CA 92530

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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)

Kelly J Hwang D.d.s. 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 92530 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 4

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

DR. JAVIER RIOS, A MEDICAL CORPORATION

Family Medicine

141 N MAIN ST
LAKE ELSINORE, CA 92530

Riverside County (855) 505-7467

ALIDIUSKA ESTOPINAN MARZO

Dentist

141 N MAIN ST
LAKE ELSINORE, CA 92530

Riverside County (951) 245-5003

MAYRA LETICIA PADILLA ARECHIGA NP

Nurse Practitioner

141 N MAIN ST
LAKE ELSINORE, CA 92530

Riverside County (855) 505-7467

OH JAE KWON, DDS, INC

Dentist

141 N MAIN ST
LAKE ELSINORE, CA 92530

Riverside County (951) 245-5003

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 Kelly Hwang's NPI number?

The NPI number for Kelly Hwang is 1790030633. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Kelly Hwang located?

Kelly Hwang practices at 141 N Main St, Lake Elsinore, CA 92530. The listed phone number is (951) 245-5003.

What is Kelly Hwang's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kelly Hwang enrolled in Medicare?

Yes. Kelly Hwang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Hwang was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.