Michael J Fong, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42468 Issued in CA

Legal business name

MICHAEL J FONG, DDS, INC

Practice address

2500 Hospital Dr
#6
Mountain View, CA 94040-4106

Phone

(650) 968-3146

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Fong, DDSNPI 1285891523

Title

Ceo

Phone

(650) 968-3146

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Fong, DDS

  • Dentist
  • Daly City, CA
  • NPI 1285891523
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1073770319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "#6",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-968-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "#6",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-968-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J FONG, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-968-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Meza
• Vidya Nitin Mhamunkar, MD
• MHN Government Services LLC
• Clarence Miao, M.D.
• Jackson Miao, DPT
• Michelle E Pezzani, MD, a Medical Corporation
• Angela M. Mickelis, PHD
• Midori Nishimura M D Ibclc Family Medicine and Lactation Inc
• Midpeninsula Surgical Associates Medical Group
• Linda Melodee Mieses, PA C

• General Practice Dentistry in Mountain View, CA
• Providers in Mountain View, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.