Heejeong Son, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858051 Issued in MA

Practice address

1 Kneeland St
Boston, MA 02111

Phone

(859) 361-3655

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Idg Boston High Street Dental PC

  • General Practice Dentistry
  • Boston, MA
  • NPI 1902679061

  General Practice

  NPD Authorized official
• Idg Boston PO Square Dental PC

  • General Practice Dentistry
  • Boston, MA
  • NPI 1346013414

  General Practice

  NPD Authorized official
• Idg Ipswich Dental PC

  • Dental Clinic/Center
  • Ipswich, MA
  • NPI 1629616115
  NPD Authorized official

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1770079485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OVERLOOK RIDGE TER UNIT 504",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511181",
            "telephone_number": "593-613-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "859-361-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "HEEJEONG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858051",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Thomas Sommerville, MD
• Semen Somov
• Andrew K Son, M.D.
• Daniel Son, D.D.S.
• Eunbi Son
• Kerry Quealy Son
• Mary Beth Son, M.D.
• Maya Son, MD
• Min Ha Son, DMD
• Rachel Grace Son

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.