Active NPI
Kristine Hong, DDS
- Pediatric Dentistry
- Valencia, CA
National Provider Identifier
1114447828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 103930
- Practice address
- 23838 Valencia Blvd Ste 300
Valencia, CA 91355-5334 - Phone
- (661) 215-6655
- NPI assigned
- Jun 23, 2017
- Last updated
- Nov 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 103930 | CA | Primary |
Addresses
Primary practice location
23838 Valencia Blvd Ste 300
Valencia, CA 91355-5334
Mailing address
23838 Valencia Blvd Ste 300
Valencia, CA 91355-5334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103930 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638057600000",
"number": "1114447828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23838 VALENCIA BLVD STE 300",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23838 VALENCIA BLVD STE 300",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555334",
"telephone_number": "661-215-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "KRISTINE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2021-11-28",
"certification_date": "2021-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "103930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.