Active NPI
Dong-Soo Hong, DMD
- Prosthodontics
- Reston, VA
National Provider Identifier
1447494521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401413980
- Practice address
- 11800 Sunrise Valley Dr
Suite 350
Reston, VA 20191 - Phone
- (703) 471-4797
- NPI assigned
- Apr 21, 2009
- Last updated
- May 2, 2024
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DEN1001317 | DC | |
| Prosthodontics | 1223P0700X | 0401413980 | VA | Primary |
Addresses
Primary practice location
11800 Sunrise Valley Dr
Suite 350
Reston, VA 20191
Mailing address
11800 Sunrise Valley Dr Ste 350
Reston, VA 20191-5302
Phone (703) 471-4797
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001317 | DC | MD | Prosthodontist |
| 0401413980 | VA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dong-Soo Hong DMD PLLC | Prosthodontics | Current | Accepting new patients |
Locations
11800 Sunrise Valley Dr
Ste 350
Reston, VA 20191
Phone (703) 471-4797
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1447494521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR STE 350",
"city": "RESTON",
"state": "VA",
"postal_code": "201915302",
"telephone_number": "703-471-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 SUNRISE VALLEY DR",
"address_2": "SUITE 350",
"city": "RESTON",
"state": "VA",
"postal_code": "20191",
"telephone_number": "703-471-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "DONG-SOO",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "DC",
"license": "DEN1001317",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "VA",
"license": "0401413980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.