Individual provider Active NPI

Joan Ji-Young Hong, D.D.S.

  • General Practice Dentistry
  • Valley Park, MO
National Provider Identifier
1174993059
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2018045502 Issued in MO
Practice address
922 Meramec Station Rd Ste D
Valley Park, MO 63088-2043
Phone
(636) 529-1460
Fax
(636) 529-1464
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 2018045502 MO Primary

Addresses

Primary practice location

922 Meramec Station Rd Ste D
Valley Park, MO 63088-2043

Mailing address

5005 N Piedras St
El Paso, TX 79920-5002
Phone (915) 742-4173

Other practice location 1

618th Dental Company AS, USA DENTAC Korea
Uni #15652
Apo, AP 96205-5652
Phone (010) 737-9162

Other practice location 2

618th Dental Company AS, USA DENTAC Korea
Uni #15652
Apo, AP 96205-5652
Phone (010) 737-9162

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

LicenseStateTypeSpecialty
2018045502MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Dental Professionals, Richard Straus, DMD, PC General Practice PastSince Dec 14, 2025 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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1174993059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205002",
            "telephone_number": "915-742-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MERAMEC STATION RD STE D",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630882043",
            "telephone_number": "636-529-1460",
            "fax_number": "636-529-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618th Dental Company AS, USA DENTAC Korea",
            "address_2": "Uni #15652",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "962055652",
            "country_code": "US",
            "telephone_number": "010-737-9162",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "618th Dental Company AS, USA DENTAC Korea",
            "address_2": "Uni #15652",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "962055652",
            "country_code": "US",
            "telephone_number": "010-737-9162",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "JOAN",
        "middle_name": "JI-YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018045502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Park, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.