Individual provider Active NPI

Hyosang Cheon, D.D.S

  • Dentist
  • North Haven, CT
National Provider Identifier
1508545708
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14450 Issued in CT
Practice address
310 Washington Ave
North Haven, CT 06473-1315
Phone
(860) 609-3558
NPI assigned
Jul 14, 2023
Reactivated
Aug 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14450 CT Primary

Addresses

Primary practice location

310 Washington Ave
North Haven, CT 06473-1315

Mailing address

201 Munson St Apt 470
New Haven, CT 06511-0649
Phone (718) 710-2377

Other practice location 1

320 Boston Ave
Stratford, CT 06614-5213
Phone (203) 375-1388

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

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1508545708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MUNSON ST APT 470",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065110649",
            "telephone_number": "718-710-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731315",
            "telephone_number": "860-609-3558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Boston Ave",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066145213",
            "country_code": "US",
            "telephone_number": "203-375-1388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEON",
        "first_name": "HYOSANG",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "deactivation_date": "2024-05-16",
        "reactivation_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; 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.