Individual provider Active NPI

Tony Hong, D.M.D.

  • Dentist
  • Centennial, CO
National Provider Identifier
1437635463
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00203579 Issued in CO
Practice address
7562 S University Blvd Ste J
Centennial, CO 80122-3160
Phone
(303) 770-8278
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00203579 CO Primary

Addresses

Primary practice location

7562 S University Blvd Ste J
Centennial, CO 80122-3160

Mailing address

7562 S University Blvd Ste J
Centennial, CO 80122-3160
Phone (303) 770-8278

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
00203579COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Dental Care PLLC CurrentSince Jul 31, 2022 Accepting new patients
Clear Dental Care PLLC CurrentSince Nov 12, 2023 Accepting new patients
Offerdahl & Associates PastSince Mar 22, 2020 Accepting new patients
Colorado Dental Professionals, LLC PastSince Dec 27, 2020 Accepting new patients

Locations

7562 S University Blvd
Ste J
Centennial, CO 80122
Phone (303) 770-8278

1509 Park Central Dr
Ste 200
Highlands Ranch, CO 80129
Phone (615) 815-6902

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1437635463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 S UNIVERSITY BLVD STE J",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223160",
            "telephone_number": "303-770-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 S UNIVERSITY BLVD STE J",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223160",
            "telephone_number": "303-770-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "TONY",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.