Active NPI
Merelyn Celeste Hong, DDS
- Dentist
- Boston, MA
National Provider Identifier
1942559174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DF11839
- Practice address
- Tufts University School of Dental Medicine
One Kneeland Street
Boston, MA 02111 - Phone
- (617) 510-2910
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL13914 | MA | |
| Dentist | 122300000X | DL13189 | MA | |
| Dentist | 122300000X | DF11839 | MA | Primary |
Addresses
Primary practice location
Tufts University School of Dental Medicine
One Kneeland Street
Boston, MA 02111
Mailing address
Tufts University School of Dental Medicine
One Kneeland Street
Boston, MA 02111
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170301001041 | MA | Order and Referring Only - Dentist | 5092099507 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DF11839 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1942559174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"address_2": "ONE KNEELAND STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"address_2": "ONE KNEELAND STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-510-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "MERELYN",
"middle_name": "CELESTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2022-07-11",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL13914",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL13189",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DF11839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.