Active NPI
Michael Kin Tong, D.D.S
- Dentist
- Fremont, CA
National Provider Identifier
1407060502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43084
- Practice address
- 43925 Hugo Ter
Fremont, CA 94538-6061 - Phone
- (510) 656-4292
- Fax
- (510) 656-4229
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43084 | CA | Primary |
Addresses
Primary practice location
43925 Hugo Ter
Fremont, CA 94538-6061
Mailing address
43925 Hugo Terrace
Fremont, CA 94538
Phone (510) 656-4292
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MKT Dental Care | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- San Francisco, CA
- NPI 1609263425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407060502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43925 HUGO TERRACE",
"city": "FREMONT",
"state": "CA",
"postal_code": "94538",
"telephone_number": "510-656-4292",
"fax_number": "510-656-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43925 HUGO TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945386061",
"telephone_number": "510-656-4292",
"fax_number": "510-656-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "MICHAEL",
"middle_name": "KIN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.