Active NPI
Hyeokjin Son
- General Practice Dentistry
- Niles, MI
National Provider Identifier
1700490224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- HYEOKJIN SON
- Practice address
- 1111 Lambert St
Niles, MI 49120-3439 - Phone
- (269) 262-4689
- Fax
- (269) 262-4697
- NPI assigned
- Sep 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherrie Frantz
- Title
- Office
- Phone
- (269) 269-4689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1111 Lambert St
Niles, MI 49120-3439
Mailing address
1111 Lambert St
Niles, MI 49120-3439
Phone (269) 262-4689
National Provider Directory
National Provider DirectoryLocations
1111 Lambert St
Niles, MI 49120
Phone (269) 262-4689
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Niles, MI
- NPI 1972777399
-
- General Practice Dentistry
- Berrien Springs, MI
- NPI 1396854188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1700490224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LAMBERT ST",
"city": "NILES",
"state": "MI",
"postal_code": "491203439",
"telephone_number": "269-262-4689",
"fax_number": "269-262-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LAMBERT ST",
"city": "NILES",
"state": "MI",
"postal_code": "491203439",
"telephone_number": "269-262-4689",
"fax_number": "269-262-4697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYEOKJIN SON",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "FRANTZ",
"authorized_official_first_name": "SHERRIE",
"authorized_official_title_or_position": "OFFICE",
"authorized_official_telephone_number": "269-269-4689",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.