Individual provider Active NPI

Saory Kong, DDS

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1346404449
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007407 Issued in VA
Practice address
6408 Seven Corners PL
Suite H
Falls Church, VA 22044-2011
Phone
(703) 538-4630
Fax
(703) 538-2533
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401007407 VA Primary

Addresses

Primary practice location

6408 Seven Corners PL
Suite H
Falls Church, VA 22044-2011

Mailing address

6408 Seven Corners PL
Suite H
Falls Church, VA 22044-2011
Phone (703) 538-4630

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
0401007407VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1346404449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 SEVEN CORNERS PL",
            "address_2": "SUITE H",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442011",
            "telephone_number": "703-538-4630",
            "fax_number": "703-538-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 SEVEN CORNERS PL",
            "address_2": "SUITE H",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442011",
            "telephone_number": "703-538-4630",
            "fax_number": "703-538-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "SAORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.