Organization Active NPI

Jason K Hong, DMD, PC

  • Preferred Provider Organization
  • Reston, VA
National Provider Identifier
1487020723
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0401410505 Issued in VA
Legal business name
JASON K HONG, DMD, PC
Practice address
12359 Sunrise Valley Dr Ste 250
Reston, VA 20191-3494
Phone
(703) 860-8613
Fax
(703) 860-8615
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Diana Y Hong
Title
Vice-President
Phone
(703) 798-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0401410505 VA Primary

Addresses

Primary practice location

12359 Sunrise Valley Dr Ste 250
Reston, VA 20191-3494

Mailing address

12359 Sunrise Valley Dr Ste 250
Reston, VA 20191-3494
Phone (703) 860-8613

National Provider Directory

National Provider Directory

Locations

12359 Sunrise Valley Dr
Ste 250
Reston, VA 20191
Phone (703) 388-2883

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1487020723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR STE 250",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913494",
            "telephone_number": "703-860-8613",
            "fax_number": "703-860-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12359 SUNRISE VALLEY DR STE 250",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913494",
            "telephone_number": "703-860-8613",
            "fax_number": "703-860-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON K HONG, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "703-798-4270"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401410505",
            "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 Aug 20, 2015; 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.