Individual provider Active NPI

Kabsun Hong, D.D.S.

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1114056801
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41922 Issued in CA
Practice address
9601 Firestone Blvd
Downey, CA 90241-5507
Phone
(562) 862-5555
Fax
(562) 862-5599
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41922 CA Primary

Addresses

Primary practice location

9601 Firestone Blvd
Downey, CA 90241-5507

Mailing address

9601 Firestone Blvd
Downey, CA 90241-5507
Phone (562) 862-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001234 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749588770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41922CAMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky & Hong Dental Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1114056801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415507",
            "telephone_number": "562-862-5555",
            "fax_number": "562-862-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415507",
            "telephone_number": "562-862-5555",
            "fax_number": "562-862-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "KABSUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.