Jacquelyn Hoang

Primary specialty

DentistTaxonomy code 122300000X

License

12018 Issued in MD

Practice address

14912 Falconwood Dr
Burtonsville, MD 20866-1349

Phone

(240) 593-6329

Fax

(703) 877-2100

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750483673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14912 FALCONWOOD DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661349",
            "telephone_number": "240-593-6329",
            "fax_number": "703-877-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14912 FALCONWOOD DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661349",
            "telephone_number": "240-593-6329",
            "fax_number": "703-877-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JACQUELYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Village Counseling the Village LLC
• Hearts and Homes for Youth, Inc.
• Helper, L.L.C.
• Paulette Theresa Hendricks, LCSW-C
• Kelsey Lynn Hieb, MS, ATC, LAT
• Holy Cross Anesthesiology Associate PA
• Holy Cross Carenet Inc (Sanctuary at Holy Cross Burtonsville)
• Holy Cross Carenet Inc (Holy Cross Rehabilitation and Nursing Center)
• Holy Cross Carenet Inc (Sanctuary at Holy Cross Burtonsville)
• Emily Hsieh

• Dentist in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.