Individual provider Active NPI

Dung Thuy Hong, D.D.S.

  • General Practice Dentistry
  • Sparks, NV
National Provider Identifier
1356373195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2790 Issued in NV
Practice address
4888 Sparks Blvd
Suite 100
Sparks, NV 89436-8120
Phone
(775) 351-1111
Fax
(775) 351-1114
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2790 NV Primary

Addresses

Primary practice location

4888 Sparks Blvd
Suite 100
Sparks, NV 89436-8120

Mailing address

4888 Sparks Blvd
Suite 100
Sparks, NV 89436-8120
Phone (775) 351-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160329002731 NV Order and Referring Only - DentistPractitioner - Dentist 2860799202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2790NVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356373195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 SPARKS BLVD",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368120",
            "telephone_number": "775-351-1111",
            "fax_number": "775-351-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 SPARKS BLVD",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368120",
            "telephone_number": "775-351-1111",
            "fax_number": "775-351-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "DUNG",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.