Active NPI
Daniel Yoochan Hong, DDS
- Dentist
- Fairfax, VA
National Provider Identifier
1740953769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401419265
- Practice address
- 12011 Route 50 Ste 503
Fairfax, VA 22033-3310 - Phone
- (667) 205-0205
- NPI assigned
- Jul 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17028 | MD | |
| Dentist | 122300000X | 0401419265 | VA | Primary |
Addresses
Primary practice location
12011 Route 50 Ste 503
Fairfax, VA 22033-3310
Mailing address
12011 Route 50 Ste 503
Fairfax, VA 22033-3310
Phone (667) 205-0205
Other names 1
- Yoochan Hong
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 |
|---|---|---|---|
| 0401419265 | VA | MD | Dentist |
| 17028 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roham Rafat LLC | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Cockeysville, MD
- NPI 1346833811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1740953769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12011 ROUTE 50 STE 503",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333310",
"telephone_number": "667-205-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12011 ROUTE 50 STE 503",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333310",
"telephone_number": "667-205-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "DANIEL",
"middle_name": "YOOCHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "17028",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOOCHAN",
"last_name": "HONG",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.