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HONG SON DMD, A PROFESSIONAL CORPORATION
NPI 1205630787
Dentist - General Practice in Sacramento, CA

Active since April 03, 2025
2605 EASTERN AVE STE 2, SACRAMENTO, CA 95821(916) 481-3234 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hong Son Dmd, A Professional Corporation NPPES

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

HONG SON DMD, A PROFESSIONAL CORPORATION (NPI 1205630787), doing business as Eastern Avenue Dental, is a healthcare organization registered as a general practice in Sacramento, California and active in the NPI registry since April 2025. The organization lists Hong Son, President, as its authorized official.

NPPES Registry Identity

NPI1205630787
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHONG SON DMD, A PROFESSIONAL CORPORATION
Location Address2605 EASTERN AVE STE 2Sacramento, CA 95821-6614
Mailing Address2605 Eastern Ave Ste 2Sacramento, CA 95821-6614
Phone(916) 481-3234
Organization SubpartNo
Authorized OfficialHong SonPresident · (415) 810-6548
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1205630787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2605 EASTERN AVE STE 2, Sacramento, CA 95821
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Other Names 1

Doing Business AsEastern Avenue Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hong Son Dmd, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hong Son Dmd, A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hong Son, DMD
Dentist
NPI 1043871387
2605 EASTERN AVE STE 2
Sacramento, CA 95821
(916) 481-3234
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hong Son Dmd, A Professional Corporation's NPI number?

The NPI number for Hong Son Dmd, A Professional Corporation is 1205630787. It was assigned to this organization in the NPPES registry on April 3, 2025. The provider is doing business as Eastern Avenue Dental.

Where is Hong Son Dmd, A Professional Corporation located?

Hong Son Dmd, A Professional Corporation is located at 2605 Eastern Ave Ste 2, Sacramento, CA 95821. The listed phone number is (916) 481-3234.

What is Hong Son Dmd, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Hong Son Dmd, A Professional Corporation enrolled in Medicare?

Yes. Hong Son Dmd, A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hong Son Dmd, A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Hong Son Dmd, A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hong Son Dmd, A Professional Corporation was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.