SOON RYE KWON
NPI 1972851798
Dentist in Loma Linda, CA

Q: What is Soon Rye Kwon's NPI number?

The NPI number for Soon Rye Kwon is 1972851798. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Soon Rye Kwon'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 Soon Rye Kwon was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 28, 2012PECOS Enrolled

25466 ORANGE CREST WAY, LOMA LINDA, CA 92354(909) 677-9699 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Soon Rye Kwon NPPES

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

SOON RYE KWON (NPI 1972851798) is an individual dentist in Loma Linda, California, licensed in California (61767) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Dentistry (2012).

NPPES Registry Identity

NPI1972851798

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSOON RYE KWON

Location Address25466 ORANGE CREST WAYLoma Linda, CA 92354

Mailing Address25466 Orange Crest WayLoma Linda, CA 92354 · (909) 677-9699

Phone(909) 677-9699

Sole ProprietorYes

Medical School CMSLoma Linda University School Of DentistryGraduated 2012

Enumeration DateAugust 28, 2012

✔ NPI 1972851798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 61767

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.

25466 ORANGE CREST WAY, Loma Linda, CA 92354

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soon Rye Kwon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325553944

PECOS Enrollment IDI20250714001859

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 92354 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.

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 Soon Rye Kwon's NPI number?

The NPI number for Soon Rye Kwon is 1972851798. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Soon Rye Kwon located?

Soon Rye Kwon practices at 25466 Orange Crest Way, Loma Linda, CA 92354. The listed phone number is (909) 677-9699.

What is Soon Rye Kwon's specialty?

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

Is Soon Rye Kwon enrolled in Medicare?

Yes. Soon Rye Kwon is registered in the Medicare PECOS enrollment system.

What insurance does Soon Rye Kwon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Soon Rye 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 Soon Rye Kwon was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.