DR. CHARLIE HAE HONG (NPI# 1811919038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811919038 |
| Entity Type | Individual |
| Full Name | DR. CHARLIE HAE HONG |
| Credential | DMD, MSD |
| Practice Address |
3554 Chain Bridge Rd Suite 401 Fairfax VA 22030-2709 |
| Practice Telephone | 7033594447 |
| Practice Fax Number | 7033851472 |
| Mailing Telephone | 7033594447 |
| Mailing Fax Number | 7033851472 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401410926 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558662478 | Charlie Chia Hsun Hong | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2010-11-09 |
| Street Address |
3554 CHAIN BRIDGE RD SUITE 401 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699201749 | Fairfax Mental Health & Wellness | Psychologist | 3554 Chain Bridge Rd, Suite 103, Fairfax, VA 22030-2709 | 2017-05-11 |
| 1124554969 | Shelley L Williams | Psychologist | 3554 Chain Bridge Rd, Fairfax, VA 22030-2709 | 2017-05-11 |
| 1417225863 | Jennifer Lynn Shore | Psychologist | 3554 Chain Bridge Rd, Suite 103, Fairfax, VA 22030-2709 | 2011-12-13 |
| 1093947558 | Yu Kai Hsu | Dentist | 3554 Chain Bridge Rd, Suite 401, Fairfax, VA 22030 | 2009-08-18 |
| 1417133851 | Dana W. Ericksen | Dentist | 3554 Chain Bridge Rd, Suite 401, Fairfax, VA 22030-2709 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265702427 | Timothy Golian | Dentist | 3925 Chain Bridge Rd, Suite 304, Fairfax, VA 22030-3937 | 2012-01-05 |
| 1750601274 | Joshua Fein | Dentist | 3025 Hamaker Ct Ste 320, Fairfax, VA 22031-2304 | 2010-06-07 |
| 1326160284 | Burton Charles Zwibel | Dentist | 8951 Colesbury Pl, Fairfax, VA 22031-3240 | 2007-04-04 |
| 1871669010 | Neil J Small | Dentist | 9940 Main St, Fairfax, VA 22031 | 2006-11-28 |
| 1841265634 | Dr Timothy Golian Dds PC | Dentist | 11230 Waples Millroad, Suite 150, Fairfax, VA 22030 | 2006-02-23 |
| 1720058217 | Jayesh Surendra Patel | Dentist | 4210 Fairfax Corner West Ave, Suite 230, Fairfax, VA 22030-8619 | 2006-01-25 |
| 1639596612 | Joshua Fein, Dds, Ms, PC | Dentist | 3025 Hamaker Ct Ste 320, Fairfax, VA 22031-2304 | 2014-03-27 |
| 1093947558 | Yu Kai Hsu | Dentist | 3554 Chain Bridge Rd, Suite 401, Fairfax, VA 22030 | 2009-08-18 |
| 1104048552 | Brian Lee | Dentist | 9661 Main St, Suite C, Fairfax, VA 22031-3757 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.