Active NPI
Stanley Kaiping Fong, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1285625251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25093
- Practice address
- 2836 S White Rd
San Jose, CA 95148-2932 - Phone
- (408) 238-4645
- Fax
- (408) 238-8482
- NPI assigned
- Oct 31, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25093 | CA | Primary |
Addresses
Primary practice location
2836 S White Rd
San Jose, CA 95148-2932
Mailing address
1444 Washo Dr
Fremont, CA 94539-6659
Phone (510) 770-0808
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 |
|---|---|---|---|
| 25093 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285625251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 WASHO DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945396659",
"telephone_number": "510-770-0808",
"fax_number": "510-770-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2836 S WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482932",
"telephone_number": "408-238-4645",
"fax_number": "408-238-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "STANLEY",
"middle_name": "KAIPING",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "25093",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.