Active NPI
Jennifer Jimin Hong, D.M.D.
- Dentist
- Roxbury Crossing, MA
National Provider Identifier
1740445998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22261
- Practice address
- 75 Saint Alphonsus St Apt 1906
Roxbury Crossing, MA 02120-1694 - Phone
- (617) 595-8672
- NPI assigned
- Jul 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22261 | MA | Primary |
Addresses
Primary practice location
75 Saint Alphonsus St Apt 1906
Roxbury Crossing, MA 02120-1694
Mailing address
75 Saint Alphonsus St Apt 1906
Roxbury Crossing, MA 02120-1694
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 |
|---|---|---|---|
| 22261 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217030400000",
"number": "1740445998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SAINT ALPHONSUS ST APT 1906",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SAINT ALPHONSUS ST APT 1906",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021201694",
"telephone_number": "617-595-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JENNIFER",
"middle_name": "JIMIN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-26",
"last_updated": "2008-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "22261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.