Active NPI
Andrew Ying Cheung Tong, DMD
- Pediatric Dentistry
- Davis, CA
National Provider Identifier
1194934695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D54980
- Practice address
- 2051 John Jones Rd
Davis, CA 95616-9701 - Phone
- (530) 757-4667
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D54980 | CA | Primary |
Addresses
Primary practice location
2051 John Jones Rd
Davis, CA 95616-9701
Mailing address
206 Aster St
Vacaville, CA 95688-8881
Phone (213) 364-1818
Other practice location 1
500 Jefferson Blvd
West Sacramento, CA 95605-2350
Phone (916) 403-2960
Other practice location 2
619 Lincoln Ave
Woodland, CA 95695-4017
Phone (530) 297-8614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D54980 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| D54980 | CA | MD | Pediatric Dentist |
Interoperability endpoints
- atong676109@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1194934695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 ASTER ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956888881",
"telephone_number": "213-364-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 JOHN JONES RD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956169701",
"telephone_number": "530-757-4667"
}
],
"practiceLocations": [
{
"address_1": "500 Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "West Sacramento",
"state": "CA",
"postal_code": "956052350",
"country_code": "US",
"telephone_number": "916-403-2960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Woodland",
"state": "CA",
"postal_code": "956954017",
"country_code": "US",
"telephone_number": "530-297-8614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TONG",
"first_name": "ANDREW",
"middle_name": "YING CHEUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "D54980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D54980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.