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Deactivated NPI 1154897627 Deactivated / Inactive NPI Female Practitioner

Nicole Hong

Dentist • Chantilly, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicole Hong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 22, 2018
NPI Deactivation Date December 19, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Nicole Hong was a registered Dentist practicing in Chantilly, VA. Throughout an active medical career spanning 1 years, Nicole Hong provided care at the practice location at 25273 NESTING SQ until profile deactivation on 2018-12-19.

Practice Location & Contact Primary Location

Practice Address

25273 Nesting Sq

Chantilly, VA 20152

Telephone 4102097223

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chantilly, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Chantilly, VA (2514 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401416255

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MD 16626

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2022

Dentist (License #0401416255 in VA)

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Updated Practice Location January 28, 2019

Registered at 25273 NESTING SQ, CHANTILLY, VA 20152 (Tel: 4102097223)

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Updated Business Mailing Address January 28, 2019

Registered at 4427 DIXIE HILL RD, APT 209, FAIRFAX, VA 22030 (Tel: 5713383104)

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Provider Name / Credentials Updated January 28, 2019

Recorded as NICOLE HONG

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2019

Dentist (License #16626 in MD)

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NPI Profile Deactivated December 19, 2018

Record deactivated on December 19, 2018

NPI Profile Active October 22, 2018

NPI status registered as active in NPPES database

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Updated Practice Location October 22, 2018

Registered at 8913 WOODYARD RD # B, CLINTON, MD 207354257 (Tel: 3013632336)

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Updated Business Mailing Address October 22, 2018

Registered at 4427 DIXIE HILL RD APT 209, FAIRFAX, VA 220309083 (Tel: 5713383104)

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Provider Name / Credentials Updated October 22, 2018

Recorded as NICOLE HONG

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2018

Dentist (License #16626 in MD)

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Initial NPI Registration & Enumeration October 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154897627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2018
Last Update: August 01, 2022
Deactivation Date: December 19, 2018
Sole Proprietor: Yes

Mailing Address

4427 Dixie Hill Rd, Apt 209

Fairfax, VA 22030

Phone: 5713383104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.