Individual provider Active NPI

Jaehee Hong, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Springboro, OH
National Provider Identifier
1467905257
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.026716 Issued in OH
Practice address
576 N Main St
Springboro, OH 45066-9552
Phone
(937) 748-8814
NPI assigned
Jul 27, 2016
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D-00134 KY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.026716 OH Primary

Addresses

Primary practice location

576 N Main St
Springboro, OH 45066-9552

Mailing address

200 Albert Sabin Way Ofc 2220
Cincinnati, OH 45267-2800
Phone (513) 584-2586

Other practice location 1

7819 Kenwood Rd
Cincinnati, OH 45236-2805
Phone (513) 776-8499

Other practice location 2

7753 Mall Rd Ste E
Florence, KY 41042-3451
Phone (859) 475-0849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240801004380 OH Practitioner - Oral Surgery 9436484607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-00134KYMDOral and Maxillofacial Surgery (Dentist)
30.026716OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
A Reza Miremadi MD DDS LLC Oral and Maxillofacial Surgery CurrentSince Jul 7, 2023 Accepting new patients
Florence Modern Dentistry, PLLC General Practice PastSince Mar 17, 2024 Accepting new patients
Ly Dentists of Kenwood PC Inc General Practice PastSince Aug 25, 2024 Accepting new patients

Locations

2355 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 426-5340

576 N Main St
Springboro, OH 45066
Phone (937) 748-8814

Organizations & group practices 3

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1467905257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALBERT SABIN WAY OFC 2220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452672800",
            "telephone_number": "513-584-2586",
            "fax_number": "513-584-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669552",
            "telephone_number": "937-748-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7819 Kenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362805",
            "country_code": "US",
            "telephone_number": "513-776-8499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7753 Mall Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410423451",
            "country_code": "US",
            "telephone_number": "859-475-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "JAEHEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "D-00134",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.026716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.