Jungik Hong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002400-15 Issued in WI

Practice address

1931 Main St
Green Bay, WI 54302-3920

Phone

(920) 499-2770

NPI assigned

Aug 6, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Familia Dental Green Bay East LLC

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1194188706

  General Practice

  NPD

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1841800547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023920",
            "telephone_number": "920-499-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023920",
            "telephone_number": "920-499-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JUNGIK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002400-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Holtz, MS CCC-SLP
• Paul R Holzman, MD
• Homecare Advantage, Inc.
• Angelica Teresa Hon, DNP, APRN
• Daniel Hong, MD
• Abbie Honzik, RNC MSE
• Crystal Hooyman
• Jordan C Hooyman, PA-C
• Melanie Marie Hooyman, MELANIE HOOYMAN, LPN
• Monica Louise Hopfensperger, R.N.

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.