Myanh Cong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.022422 Issued in OH

Practice address

4627 Aicholtz Rd
Cincinnati, OH 45244-1447

Phone

(513) 753-5282

Fax

(513) 528-0593

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthsource of Ohio, Inc.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
  • NPI 1275966863

  OH

  Medicare reassignment NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Mt. Orab, OH
  • NPI 1235379819
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Seaman, OH
  • NPI 1376612119
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Batavia, OH
  • NPI 1891009502
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • New Richmond, OH
  • NPI 1184728230
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Hillsboro, OH
  • NPI 1326142480
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Lebanon, OH
  • NPI 1407288210
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Mount Orab, OH
  • NPI 1437253598
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Blanchester, OH
  • NPI 1528826351
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Georgetown, OH
  • NPI 1700980869
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1780701417
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Washington Court House, OH
  • NPI 1861502452
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1235230855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 AICHOLTZ RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441447",
            "telephone_number": "513-753-5282",
            "fax_number": "513-528-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONG",
        "first_name": "MYANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022422",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737355",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100087790",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200999390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concepts in Hearing
• Brian J Condon
• Christopher John Condorodis, MD
• Sarah Cone
• La'Naiya Nekiol Coney-Brown
• Conimby Foundation
• Brandon Blake Conine, M.D.
• Jennifer Conkey
• Christine Conlan, LISW
• Douglas Conley, LISW

• All providers in Cincinnati, OH
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.