Kristine M. Hyon, DMD, MS

Key facts

NPI

1972735280

Entity type

Individual (NPI type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

License

22D101966300 (NJ)

Practice address

194 Livingston St Ste 1
Northvale, NJ 07647-1842

Phone

(201) 767-4555

Fax

(201) 767-4547

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 12, 2023.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1972735280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 LIVINGSTON ST STE 1",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471842",
            "telephone_number": "201-767-4555",
            "fax_number": "201-767-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 LIVINGSTON ST STE 1",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471842",
            "telephone_number": "201-767-4555",
            "fax_number": "201-767-4547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 W 57th St Ste 1414",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192802",
            "country_code": "US",
            "telephone_number": "347-556-5337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Broad Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "NJ",
            "postal_code": "076571604",
            "country_code": "US",
            "telephone_number": "347-556-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYON",
        "first_name": "KRISTINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046481-1",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22D101966300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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