Organization Active NPI

Dong-Soo Hong DMD PLLC

  • Prosthodontics
  • Reston, VA
National Provider Identifier
1619755113
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
DONG-SOO HONG DMD PLLC
Practice address
11800 Sunrise Valley Dr
Reston, VA 20191-5300
Phone
(703) 850-6566
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Dr. Dong-Soo Hong, DMD, FACPNPI 1447494521
Title
Owner
Phone
(703) 850-6566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

11800 Sunrise Valley Dr
Reston, VA 20191-5300

Mailing address

11800 Sunrise Valley Dr
Reston, VA 20191-5300

Other names 1

  • DH Dental & Prosthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

11800 Sunrise Valley Dr
Reston, VA 20191
Phone (703) 709-1114

Practitioners & affiliated clinicians

Practitioners 1

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1619755113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915300",
            "telephone_number": "703-850-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG-SOO HONG DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "DONG-SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-850-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, FACP"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DH Dental & Prosthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2023; 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.