Active NPI
Hong Ni, DMD
- Dentist
- Philadelphia, PA
National Provider Identifier
1912167156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS035434
- Practice address
- 1320 Ritner Street
Philadelphia, PA 19148 - Phone
- (215) 389-3876
- Fax
- (215) 389-1442
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS035434 | PA | Primary |
Addresses
Primary practice location
1320 Ritner Street
Philadelphia, PA 19148
Mailing address
1320 W Ritner St
Philadelphia, PA 19148-3525
Phone (215) 389-3876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150327000167 | NJ | Order and Referring Only - Dentist | 3274850441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035434 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1912167156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W RITNER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483525",
"telephone_number": "215-389-3876",
"fax_number": "215-389-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 RITNER STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19148",
"telephone_number": "215-389-3876",
"fax_number": "215-389-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NI",
"first_name": "HONG",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS035434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.