Individual provider Active NPI

Min Young Hong

  • Dentist
  • Hanford, CA
National Provider Identifier
1225524564
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102743 Issued in CA
Practice address
1560 W Lacey Blvd Ste 107
Hanford, CA 93230-3587
Phone
(404) 358-0765
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102743 CA Primary

Addresses

Primary practice location

1560 W Lacey Blvd Ste 107
Hanford, CA 93230-3587

Mailing address

3325 S Lovers LN Apt G
Visalia, CA 93292-9836
Phone (404) 358-0765

Other practice location 1

1230 S Mooney Blvd
Visalia, CA 93277-4436
Phone (559) 802-4299

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
102743CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1225524564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 S LOVERS LN APT G",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929836",
            "telephone_number": "404-358-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W LACEY BLVD STE 107",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303587",
            "telephone_number": "404-358-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 S Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774436",
            "country_code": "US",
            "telephone_number": "559-802-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "MIN",
        "middle_name": "YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.