Individual provider Active NPI

Seung Hyun Hong, D.M.D

  • General Practice Dentistry
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1316294804
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23134 Issued in FL
Practice address
2940 Stanley Rd
Jbsa Ft Sam Houston, TX 78234-2740
Phone
(808) 754-9168
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN-DEN-LIC-4168 MT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN23134 FL Primary

Addresses

Primary practice location

2940 Stanley Rd
Jbsa Ft Sam Houston, TX 78234-2740

Mailing address

3630 Stanley Rd Ste 106
Fort Sam Houston, TX 78234-7697
Phone (808) 754-9168

Other practice location 1

Randolf clinic
221 3rd st west, bldg 1040
Jbsa-randolf, TX 78150
Phone (210) 652-8544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20171010002889 AL Order and Referring Only - DentistPractitioner - Dentist 5092080416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23134FLMDGeneral Practice Dentistry
DEN-DEN-LIC-4168MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1316294804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 STANLEY RD STE 106",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347697",
            "telephone_number": "808-754-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 STANLEY RD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342740",
            "telephone_number": "808-754-9168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Randolf clinic",
            "address_2": "221 3rd st west, bldg 1040",
            "address_purpose": "LOCATION",
            "city": "Jbsa-randolf",
            "state": "TX",
            "postal_code": "78150",
            "country_code": "US",
            "telephone_number": "210-652-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "SEUNG",
        "middle_name": "HYUN",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-4168",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.