TAE KWON
NPI 1992157572
Dentist - Orthodontics and Dentofacial Orthopedics in Fresno, CA
About Tae Kwon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAE KWON (NPI 1992157572) is an individual orthodontics and dentofacial orthopedics provider in Fresno, California, licensed in California (103782) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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)
Tae Kwon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tae Kwon's NPI number?
The NPI number for Tae Kwon is 1992157572. It was assigned to this individual provider in the NPPES registry on July 7, 2016.
Where is Tae Kwon located?
Tae Kwon practices at 1161 E Shepherd Ave Apt 201, Fresno, CA 93720. The listed phone number is (310) 890-0816.
What is Tae Kwon's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Tae Kwon enrolled in Medicare?
Yes. Tae Kwon is registered in the Medicare PECOS enrollment system.
What insurance does Tae Kwon accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Tae 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 Tae Kwon was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.