NPIMap

Organization Active NPI

PH Dental PLLC

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1225329659
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6104 Issued in OK
Legal business name
PH DENTAL PLLC
Doing business as
Dental Express
Practice address
2712 SW 29TH St
Oklahoma City, OK 73119-1806
Phone
(405) 212-4549
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Yong Ki Hong, DDS
Title
Partner
Phone
(405) 409-4342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6104 OK Primary

Addresses

Primary practice location

2712 SW 29TH St
Oklahoma City, OK 73119-1806

Mailing address

2712 SW 29TH St
Oklahoma City, OK 73119-1806
Phone (405) 212-4549

Other names 1

  • Dental Express Doing business as

National Provider Directory

National Provider Directory

Locations

2712 SW 29th St
Oklahoma City, OK 73119
Phone (405) 212-4549

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1225329659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191806",
            "telephone_number": "405-212-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191806",
            "telephone_number": "405-212-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "KI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "405-409-4342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.