Individual provider Active NPI

Hyung-Jun Kong, DDS

  • Prosthodontics
  • Winter Park, FL
National Provider Identifier
1548410350
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN16762 Issued in FL
Practice address
2828 Casa Aloma Way Ste 700
Winter Park, FL 32792-2270
Phone
(321) 972-8870
Fax
(321) 275-5911
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X DN16762 FL Primary

Addresses

Primary practice location

2828 Casa Aloma Way Ste 700
Winter Park, FL 32792-2270

Mailing address

2828 Casa Aloma Way Ste 700
Winter Park, FL 32792-2270
Phone (321) 972-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170420000797 FL Order and Referring Only - DentistPractitioner - Dentist 1557647963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1548410350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CASA ALOMA WAY STE 700",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922270",
            "telephone_number": "321-972-8870",
            "fax_number": "321-275-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CASA ALOMA WAY STE 700",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922270",
            "telephone_number": "321-972-8870",
            "fax_number": "321-275-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "HYUNG-JUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN16762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.