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DR. OH JAE KWON DDS
NPI 1972576866
Dentist in Riverside, CA

Active since February 10, 2006PECOS Enrolled
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503(951) 588-5600(951) 588-5603 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Oh Jae Kwon Dds NPPES

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

DR. OH JAE KWON DDS (NPI 1972576866) is an individual dentist in Riverside, California, licensed in California (46484) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972576866
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. OH JAE KWONCredential: DDS
Location Address9939 MAGNOLIA AVERiverside, CA 92503-3528
Mailing Address9939 Magnolia AveRiverside, CA 92503-3528 · (951) 588-5600 · Fax (951) 588-5603
Phone(951) 588-5600
Fax(951) 588-5603
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1972576866 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.
9939 MAGNOLIA AVE, Riverside, CA 92503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Oh Jae 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Oh Kwon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kwon DDS Professional Corporation
11 mi
Dentist
21091 RIDER ST, SUITE 203
Perris, CA 92570
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1881021434 (951) 322-4058
O.J Kwon Dental Corporation
18 mi
Dentist
9675 MONTE VISTA AVE, SUITE G
Montclair, CA 91763
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Oj Kwon Dental Corporation
  • 3 clinicians in this Medicare group
NPI 1972044337 (909) 576-7175
O. Kwon Dental Corporation
73 mi
General Practice
82935 AVENUE 48 STE 103
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1356029433 (909) 576-7175

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 92503 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 20

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

LISSETTE G LOPEZ PA-C
Physician Assistant
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (818) 282-5894
HOLISTIC CURE AND CARE CENTER, INC.
Psychologist
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (855) 505-7467
RODOLFO ROJAS
Family Medicine
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (855) 505-7467
DR. ANGELA L.F. WANG DO
Pediatrics
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (951) 687-8802
RIOS SOUTHWEST MEDICAL GROUP
Family Medicine
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (951) 354-3216
DR. JAMES S KIM DDS
Dentist
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (562) 477-6929
NOEL SANTAMARIA PA
Physician Assistant
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (855) 505-7467
FARNOOSH QADRI MD
Obstetrics & Gynecology
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (951) 354-2229

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 Oh Kwon's NPI number?

The NPI number for Oh Kwon is 1972576866. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Oh Kwon located?

Oh Kwon practices at 9939 Magnolia Ave, Riverside, CA 92503. The listed phone number is (951) 588-5600.

What is Oh Kwon's specialty?

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

Is Oh Kwon enrolled in Medicare?

Yes. Oh Kwon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oh Kwon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oh Kwon reassigns Medicare benefits to 3 organizations: Kwon DDS Professional Corporation (Perris, CA), O.J Kwon Dental Corporation (Montclair, CA) and O. Kwon Dental Corporation (Indio, CA). Each 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 Oh Kwon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oh Kwon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Oh Kwon 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 Oh Kwon was last updated on June 15, 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.