DR. SUNG HYON KONG DDS
NPI 1063535698
Dentist in Fishers, IN

Q: What is Sung Kong's NPI number?

The NPI number for Sung Kong is 1063535698. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Sung Kong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sung Kong was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2007PECOS Enrolled

11530 ALLISONVILLE RD, SUITE 175, FISHERS, IN 46038(317) 845-5100(317) 845-5200 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sung Hyon Kong Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUNG HYON KONG DDS (NPI 1063535698) is an individual dentist in Fishers, Indiana, licensed in Indiana (12010747A) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063535698

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SUNG HYON KONGCredential: DDS

Location Address11530 ALLISONVILLE RD, SUITE 175Fishers, IN 46038-1865

Mailing Address11530 Allisonville Rd, Suite 175Fishers, IN 46038-1865 · (317) 845-5100 · Fax (317) 845-5200

Phone(317) 845-5100

Fax(317) 845-5200

Sole ProprietorYes

Enumeration DateApril 9, 2007

Last NPPES UpdateMay 9, 2008

✔ NPI 1063535698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12010747A

Definition

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.

11530 ALLISONVILLE RD, Fishers, IN 46038

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Other Identifiers 1

Medicaid200533220IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sung Hyon Kong Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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