Hyucksoo Hong, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855206 Issued in MA

Practice address

70 Main St
Stoneham, MA 02180-3312

Phone

(617) 797-2474

NPI assigned

Jul 16, 2009

Last updated

Mar 24, 2014By the provider in NPPES

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

Enrolled in MA

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1902036510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803312",
            "telephone_number": "617-797-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803312",
            "telephone_number": "617-797-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "HYUCKSOO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heike Rolle-Daya, MD
• Bonny Marie Hiett, RD LDN
• Highly Visioned LLC
• Amanda Marie Holt, MSOT, OTR/L
• Jeffrey Hom, PHARMD
• Tammy Lynne Hopper Graham, MA LMFT
• Neil S Hornung, D.M.D.
• Horsley Eye Center
• Wilson Horsley, M.D.
• HPSS-Wpho, Inc

• General Practice Dentistry in Stoneham, MA
• Providers in Stoneham, 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 Mar 24, 2014; 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.