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DR. JAE-HYUCK KWAK DDS
NPI 1982875118
Dentist - General Practice in Victoria, TX

Active since March 16, 2008PECOS Enrolled
104 PROFESSIONAL PARK DR, VICTORIA, TX 77904(361) 573-3841(361) 573-1930 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2020, Oct 30, 2019 (2 updates tracked since 2019).

About Dr. Jae-hyuck Kwak Dds NPPES

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

DR. JAE-HYUCK KWAK DDS (NPI 1982875118) is an individual general practice provider in Victoria, Texas, licensed in Texas (23724) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982875118
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAE-HYUCK KWAKCredential: DDS
Location Address104 PROFESSIONAL PARK DRVictoria, TX 77904-2351
Mailing Address104 Professional Park DrVictoria, TX 77904-2351 · (361) 573-3841 · Fax (361) 573-1930
Phone(361) 573-3841
Fax(361) 573-1930
Sole ProprietorYes
Enumeration DateMarch 16, 2008
Last NPPES UpdateMay 1, 20202 updates tracked since enumeration
NPPES CertifiedMay 1, 2020
✔ NPI 1982875118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 23724
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 23724 (TX)
104 PROFESSIONAL PARK DR, Victoria, TX 77904
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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)

Dr. Jae-hyuck Kwak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

SWINFORD C WILSON DDS INC
Dentist (General Practice)
104 PROFESSIONAL PARK DR
VICTORIA, TX 77904
Victoria County (361) 573-3841

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 Jae-hyuck Kwak's NPI number?

The NPI number for Jae-hyuck Kwak is 1982875118. It was assigned to this individual provider in the NPPES registry on March 16, 2008.

Where is Jae-hyuck Kwak located?

Jae-hyuck Kwak practices at 104 Professional Park Dr, Victoria, TX 77904. The listed phone number is (361) 573-3841.

What is Jae-hyuck Kwak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jae-hyuck Kwak enrolled in Medicare?

Yes. Jae-hyuck Kwak is registered in the Medicare PECOS enrollment system.

What insurance does Jae-hyuck Kwak accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jae-hyuck Kwak 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 Jae-hyuck Kwak was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.