Individual provider Active NPI

Cuong N. Hong, DMD

  • Dentist
  • Snohomish, WA
National Provider Identifier
1215946017
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010912 Issued in WA
Practice address
13119 Seattle Hill Rd
Suite 105
Snohomish, WA 98296-3400
Phone
(254) 258-2487
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8480 OR
Dentist 122300000X DE00010912 WA Primary

Addresses

Primary practice location

13119 Seattle Hill Rd
Suite 105
Snohomish, WA 98296-3400

Mailing address

13119 Seattle Hill Rd
Suite 105
Snohomish, WA 98296-3400
Phone (254) 258-2487

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
D8480ORMDDentist
DE00010912WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cuong N Hong DMD PLLC Current Accepting new patients

Locations

13119 Seattle Hill Rd
Ste 105
Snohomish, WA 98296
Phone (254) 258-2487

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1215946017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13119 SEATTLE HILL RD",
            "address_2": "SUITE 105",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982963400",
            "telephone_number": "254-258-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 SEATTLE HILL RD",
            "address_2": "SUITE 105",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982963400",
            "telephone_number": "254-258-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "CUONG",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8480",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.