Active NPI
Seung Hyun Hong, D.M.D
- General Practice Dentistry
- Jbsa Ft Sam Houston, TX
National Provider Identifier
1316294804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN-DEN-LIC-4168 | MT | |
| General Practice Dentistry | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171010002889 | AL | Order and Referring Only - Dentist | 5092080416 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23134 | FL | MD | General Practice Dentistry |
| DEN-DEN-LIC-4168 | MT | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.