Organization Active NPI

Jonna E Hongo DMD LLC

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1033624929
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5984 Issued in OR
Legal business name
JONNA E HONGO DMD LLC
Practice address
9732 SE Washington St Ste H
Portland, OR 97216-8405
Phone
(503) 235-4564
Fax
(503) 255-0778
NPI assigned
Dec 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonna E Hongo, DMD
Title
Owner
Phone
(503) 235-4564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5984 OR Primary

Addresses

Primary practice location

9732 SE Washington St Ste H
Portland, OR 97216-8405

Mailing address

9732 SE Washington St Ste H
Portland, OR 97216-8405
Phone (503) 235-4564

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1033624929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 SE WASHINGTON ST STE H",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972168405",
            "telephone_number": "503-235-4564",
            "fax_number": "503-255-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 SE WASHINGTON ST STE H",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972168405",
            "telephone_number": "503-235-4564",
            "fax_number": "503-255-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONNA E HONGO DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "HONGO",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-235-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.