Active NPI
Justin S Hong, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orange, CA
National Provider Identifier
1619056736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 47374
- Practice address
- 665 N Tustin St Ste U
Orange, CA 92867-7148 - Phone
- (714) 744-2828
- Fax
- (714) 744-2829
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 47374 | CA | Primary |
Addresses
Primary practice location
665 N Tustin St Ste U
Orange, CA 92867-7148
Mailing address
665 N Tustin St Ste U
Orange, CA 92867-7148
Phone (714) 744-2828
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47374 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin S Hong a Professional Dental Corporation | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orange, CA
- NPI 1992951628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1619056736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 N TUSTIN ST STE U",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677148",
"telephone_number": "714-744-2828",
"fax_number": "714-744-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 N TUSTIN ST STE U",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677148",
"telephone_number": "714-744-2828",
"fax_number": "714-744-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JUSTIN",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "47374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.