Organization Active NPI

Peter T. Hong, D.M.D. a Professional Dental Corporation

  • General Practice Dentistry
  • Los Altos, CA
National Provider Identifier
1093854986
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45115 Issued in CA
Legal business name
PETER T. HONG, D.M.D. A PROFESSIONAL DENTAL CORPORATION
Practice address
747 Altos Oaks Drive
Suite 3
Los Altos, CA 94024-5433
Phone
(650) 948-5600
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Peter Tzu-Bin Hong, DMDNPI 1356478416
Title
President
Phone
(650) 948-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45115 CA Primary

Addresses

Primary practice location

747 Altos Oaks Drive
Suite 3
Los Altos, CA 94024-5433

Mailing address

747 Altos Oaks Drive
Suite 3
Los Altos, CA 94024-5433
Phone (650) 948-5600

National Provider Directory

National Provider Directory

Locations

747 Altos Oaks Dr
Ste 3
Los Altos, CA 94024
Phone (650) 948-5600

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1093854986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 ALTOS OAKS DRIVE",
            "address_2": "SUITE 3",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245433",
            "telephone_number": "650-948-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 ALTOS OAKS DRIVE",
            "address_2": "SUITE 3",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245433",
            "telephone_number": "650-948-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T. HONG, D.M.D. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TZU-BIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-948-5600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.