Individual provider Active NPI

John KS Tong, DDS

  • General Practice Dentistry
  • Cupertino, CA
National Provider Identifier
1508943812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44788 Issued in CA
Practice address
10311 S de Anza Blvd
Suite 3
Cupertino, CA 95014-3028
Phone
(408) 996-8000
Fax
(408) 996-8008
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44788 CA Primary

Addresses

Primary practice location

10311 S de Anza Blvd
Suite 3
Cupertino, CA 95014-3028

Mailing address

10311 S de Anza Blvd
Suite 3
Cupertino, CA 95014-3028
Phone (408) 996-8000

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

LicenseStateTypeSpecialty
44788CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John KS Tong, DDS, Inc. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jtong249673@direct-ucsfmedicalcenter.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508943812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD",
            "address_2": "SUITE 3",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-996-8000",
            "fax_number": "408-996-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD",
            "address_2": "SUITE 3",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-996-8000",
            "fax_number": "408-996-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "JOHN",
        "middle_name": "KS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, 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.

Verify at the official NPI Registry.