Tae Kwon
Orthodontics and Dentofacial Orthopedics Dentistry · Fresno, CA
Tae Kwon is an orthodontics and dentofacial orthopedics dentistry with a practice address in Fresno, California, and NPI 1992157572, issued on Jul 7, 2016. Check the license (California 103782, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tae Kwon
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License number
- 103782 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1161 E Shepherd Ave Apt 201, Fresno, CA 93720
- Phone
- (310) 890-0816
- Enumerated
- Jul 7, 2016
- Record last updated
- Jul 16, 2019 (not updated in 7 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest orthodontics and dentofacial orthopedics dentistry records → All 1,881 in California → Look up another NPI →
Verify Tae Kwon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 103782Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $176.36
4 payments; by number, the most common kind was food and beverage; the largest payer was Align Technology, Inc. The 7,622 providers of this specialty with any payment received $1,641.73 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Tae Kwon among 1,881 orthodontics and dentofacial orthopedics dentistry records in California
Tae Kwon is one of 1,881 orthodontics and dentofacial orthopedics dentistry records with a practice address in California. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 80% of them.
- NPI issued2016 · 80% of these records are older, 18% newer
- In a Medicare fileYes · 56% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2019 · 77% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223X0400X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthodontics and Dentofacial Orthopedics Dentistry providers in California
There are 1,881 orthodontics and dentofacial orthopedics dentistry records in California.
All 1,881 in California → Every provider in Fresno → Orthodontics and Dentofacial Orthopedics Dentistry nationwide →
The 8 orthodontics and dentofacial orthopedics dentistry records with the nearest ZIP codes
- Ryann Christensen, DDSFresno, CA 937201063942902
- George Clarke, D.D.S., M.S.Fresno, CA 937201780799346
- Cory Costanzo, DDSFresno, CA 937201780804369
- Pasqualino Diciccio, D.D.S., M.S.Fresno, CA 937201205057056
- Lucas Diciccio, DDSFresno, CA 937201134835598
- Bruce Havens, D.D.SFresno, CA 937201568683142
- Mark Lowe, DDSFresno, CA 937201497819833
- Randall Malan, D.D.S.Fresno, CA 937201770617615
Common questions
What is Tae Kwon's NPI number?
Tae Kwon's National Provider Identifier (NPI) is 1992157572, issued on Jul 7, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Tae Kwon located?
The NPPES record lists a practice address at 1161 E Shepherd Ave Apt 201, Fresno, CA, 93720. Phone: (310) 890-0816. Providers update this record themselves, so call before visiting.
How can I verify Tae Kwon's license?
NPPES lists California license number 103782, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.