MEAD VALLEY COMMUNITY DENTAL CLINIC
NPI 1881021434
Dentist in Perris, CA
About Mead Valley Community Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEAD VALLEY COMMUNITY DENTAL CLINIC (NPI 1881021434) is a healthcare organization registered as a dentist in Perris, California and active in the NPI registry since September 2013. The organization lists Oh Jae Kwon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Mead Valley Community Dental Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mead Valley Community Dental Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Kwon Dds Professional Corporation's NPI number?
The NPI number for Kwon Dds Professional Corporation is 1881021434. It was assigned to this organization in the NPPES registry on September 27, 2013. The provider is doing business as Mead Valley Community Dental Clinic.
Where is Kwon Dds Professional Corporation located?
Kwon Dds Professional Corporation is located at 21091 Rider St Suite 203, Perris, CA 92570. The listed phone number is (951) 322-4058.
What is Kwon Dds Professional Corporation's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Kwon Dds Professional Corporation enrolled in Medicare?
Yes. Kwon Dds Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kwon Dds Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dentist, reassign their Medicare billing to Kwon Dds Professional 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 Kwon Dds Professional Corporation accept?
Health plans from UnitedHealthcare list Kwon Dds Professional 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 Kwon Dds Professional Corporation was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mead Valley Community Dental Clinic · NPI 1881021434
Dentist organization in Perris, California. Organization record, active in the CMS NPPES registry since September 27, 2013.
## Identity
- **NPI:** 1881021434 (Entity type: Organization)
- **Enumerated:** September 27, 2013
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Legal business name:** Kwon Dds Professional Corporation
- **Organization subpart:** Yes (part of Kwon Dds Professional Corporation)
- **Authorized official:** Oh Jae Kwon, PRESIDENT
## Practice location
- **Address:** 21091 RIDER ST, SUITE 203, Perris, CA 92570-8878
- **Phone:** (951) 322-4058
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Dentist) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1881021434) · Data from the CMS NPPES public registry.