Individual provider Active NPI

Fung Y. Shuen, D.D.S.

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1063545135
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38920 Issued in CA
Practice address
287 Old Bernal Ave
Pleasanton, CA 94566-7015
Phone
(925) 469-0918
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38920 CA Primary

Addresses

Primary practice location

287 Old Bernal Ave
Pleasanton, CA 94566-7015

Mailing address

PO Box 821
Pleasanton, CA 94566-0082
Phone (925) 469-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1063545135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660082",
            "telephone_number": "925-469-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 OLD BERNAL AVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667015",
            "telephone_number": "925-469-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEN",
        "first_name": "FUNG",
        "middle_name": "Y.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.