Individual provider Active NPI

Mi Hoang, DMD

  • Dentist
  • Hattiesburg, MS
National Provider Identifier
1609428614
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4079-19 Issued in MS
Practice address
68 Old Airport Rd
PO Box 1729
Hattiesburg, MS 39403
Phone
(601) 545-8700
NPI assigned
Jul 10, 2019
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 4079-19 MS Primary

Addresses

Primary practice location

68 Old Airport Rd
PO Box 1729
Hattiesburg, MS 39403

Mailing address

114 N 40TH Ave Ste G
Hattiesburg, MS 39401-6663

Other practice location 1

114 N 40th Ave Ste G
Hattiesburg, MS 39401-6663
Phone (601) 261-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20221209002577 MS Order and Referring Only - DentistPractitioner - Dentist 7618346818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Smiles, PLLC CurrentSince Feb 23, 2025 Accepting new patients
Hattiesburg Community Dental Center Past Accepting new patients
Minor Care Clinic Past Accepting new patients
Lamar County School Clinic Past Accepting new patients
Semrhi Mobile Healthcare Unit Past Accepting new patients

Locations

114 N 40th Ave
Ste G
Hattiesburg, MS 39401
Phone (601) 261-5541

Interoperability endpoints

  • Direct secure messaging: mhoang135383@directpatientrecord.com

Organizations & group practices 5

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1609428614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N 40TH AVE STE G",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 OLD AIRPORT RD",
            "address_2": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39403",
            "telephone_number": "601-545-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 N 40th Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394016663",
            "country_code": "US",
            "telephone_number": "601-261-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4079-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.