NPIMap

Organization Active NPI

Tom Fuji, DDS

  • Periodontics
  • Philadelphia, PA
National Provider Identifier
1396808556
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS035030 Issued in PA
Legal business name
TOM FUJI, DDS
Practice address
7601 Castor Avenue
(Suite 300)
Philadelphia, PA 19152
Phone
(215) 722-4290
Fax
(215) 722-3734
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Tom Fuji
Title
President
Phone
(215) 722-4290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X DS018466L PA
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X DS035030 PA Primary

Addresses

Primary practice location

7601 Castor Avenue
(Suite 300)
Philadelphia, PA 19152

Mailing address

7601 Castor Avenue
(Suite 300)
Philadelphia, PA 19152
Phone (215) 722-4290

Other names 1

  • Joseph E Gian-Grasso Doing business as

National Provider Directory

National Provider Directory

Locations

7601 Castor Ave
Ste 300
Philadelphia, PA 19152
Phone (215) 722-4290

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1396808556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CASTOR AVENUE",
            "address_2": "(SUITE 300)",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-722-4290",
            "fax_number": "215-722-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CASTOR AVENUE",
            "address_2": "(SUITE 300)",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-722-4290",
            "fax_number": "215-722-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM FUJI, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "FUJI",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-722-4290"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS018466L",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS035030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph E Gian-Grasso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.