Individual provider Active NPI

Melanie C Fung, DDS

  • General Practice Dentistry
  • Parlier, CA
National Provider Identifier
1306133020
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61207 Issued in CA
Practice address
429 E Manning Ave
Parlier, CA 93648-2668
Phone
(800) 492-4227
Fax
(559) 646-3652
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 61207 CA Primary

Addresses

Primary practice location

429 E Manning Ave
Parlier, CA 93648-2668

Mailing address

3875 W Beechwood Ave
Fresno, CA 93711-0795
Phone (559) 646-6618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206002162 CA Order and Referring Only - DentistPractitioner - Dentist 3173883485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61207CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Dental of SW Pennsylvania, PLLC Past Accepting new patients
George Monios DMD PC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melanie.fung.1@17661.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1306133020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 W BEECHWOOD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110795",
            "telephone_number": "559-646-6618",
            "fax_number": "559-646-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E MANNING AVE",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482668",
            "telephone_number": "800-492-4227",
            "fax_number": "559-646-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "MELANIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlier, CA

Sources for this page

Verify at the official NPI Registry.