Andrew B. Fong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38420 Issued in CA

Practice address

4000 S Bascom Ave
Suite 8
San Jose, CA 95124-2663

Phone

(408) 377-5833

Fax

(408) 377-3383

NPI assigned

Sep 22, 2006

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1487754214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S BASCOM AVE",
            "address_2": "SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-5833",
            "fax_number": "408-377-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S BASCOM AVE",
            "address_2": "SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-5833",
            "fax_number": "408-377-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Folliott
• Keith Elliott Follmar, M.D.
• Vira Fomenko, MD
• Abraham Park Fong, MD, PHD
• Allen Gary Fong, M.D.
• Cynthia Uyemoto Fong, PT
• Daniel Jordan Fong, DPT
• Danielle Fong
• Francis Chikeung Fong, L.C.S.W.
• Jessica Fong

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.