Active NPI
Tong Zheng, D.D.S.
- Dentist
- San Jose, CA
National Provider Identifier
1073664850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47343
- Practice address
- 1062 S de Anza Blvd
C 103
San Jose, CA 95129-3556 - Phone
- (408) 320-1799
- Fax
- (669) 292-5392
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47343 | CA | Primary |
Addresses
Primary practice location
1062 S de Anza Blvd
C 103
San Jose, CA 95129-3556
Mailing address
1062 S de Anza Blvd
C 103
San Jose, CA 95129-3556
Phone (408) 320-1799
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47343 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Tong Zheng DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- San Jose, CA
- NPI 1689128803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1073664850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 S DE ANZA BLVD",
"address_2": "C 103",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293556",
"telephone_number": "408-320-1799",
"fax_number": "669-292-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 S DE ANZA BLVD",
"address_2": "C 103",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293556",
"telephone_number": "408-320-1799",
"fax_number": "669-292-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHENG",
"first_name": "TONG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.