O.J KWON DENTAL CORPORATION
NPI 1972044337
Dentist in Montclair, CA

Active since March 17, 2017
9675 MONTE VISTA AVE, SUITE G, MONTCLAIR, CA 91763(909) 576-7175 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About O.j Kwon Dental Corporation NPPES

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

O.J KWON DENTAL CORPORATION (NPI 1972044337) is a healthcare organization registered as a dentist in Montclair, California and active in the NPI registry since March 2017. The organization lists Oh Jae Kwon, President, as its authorized official.

NPPES Registry Identity

NPI1972044337
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameO.J KWON DENTAL CORPORATION
Location Address9675 MONTE VISTA AVE, SUITE GMontclair, CA 91763-2233
Mailing Address9675 Monte Vista Ave, Suite GMontclair, CA 91763-2233 · (909) 576-7175
Organization SubpartNo
Authorized OfficialOh Jae KwonPresident · (909) 576-7175
Enumeration DateMarch 17, 2017
✔ NPI 1972044337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 46484
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.
9675 MONTE VISTA AVE, Montclair, CA 91763

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

O.j Kwon Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to O.J Kwon Dental Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Dentist
NPI 1366655524
455 W FOOTHILL BLVD
Glendora, CA 91741
(626) 914-9808
✔ PECOS11 mi
Dentist
NPI 1972576866
9939 MAGNOLIA AVE
Riverside, CA 92503
(951) 588-5600
✔ PECOS18 mi
Dentist
NPI 1578035333
15027 MULBERRY DR
Whittier, CA 90604
(562) 351-1012
✔ PECOS20 mi

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 O.J Kwon Dental Corporation's NPI number?

The NPI number for O.J Kwon Dental Corporation is 1972044337. It was assigned to this organization in the NPPES registry on March 17, 2017.

Where is O.J Kwon Dental Corporation located?

O.J Kwon Dental Corporation is located at 9675 Monte Vista Ave Suite G, Montclair, CA 91763. The listed phone number is (909) 576-7175.

What is O.J Kwon Dental Corporation's specialty?

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

Is O.J Kwon Dental Corporation enrolled in Medicare?

Yes. O.J Kwon Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through O.J Kwon Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dentist, reassign their Medicare billing to O.J Kwon Dental 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 O.J Kwon Dental Corporation accept?

Health plans from UnitedHealthcare list O.J Kwon Dental 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 O.J Kwon Dental Corporation was last updated on March 17, 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.