Jisoo Hong, DDS
NPI 1902509466 · Dentist · Manitowoc, WI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jisoo Hong, DDS is a Dentist provider in Manitowoc, WI (NPI 1902509466).
Provider details
- NPI number
- 1902509466
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 6000060-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Frequently asked questions
- What is Jisoo Hong's NPI number?
- Jisoo Hong's National Provider Identifier (NPI) is 1902509466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jisoo Hong's specialty?
- Jisoo Hong is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jisoo Hong located?
- Jisoo Hong's practice location on file with NPPES is 2719 Calumet Ave, Manitowoc, WI 54220-5546.
- What is Jisoo Hong's phone number?
- The practice phone number listed in the NPPES registry for Jisoo Hong is (920) 686-2333.
- Does Jisoo Hong accept Medicare?
- Jisoo Hong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jisoo Hong's NPI active?
- Yes — Jisoo Hong's NPI (1902509466) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.