Charlene Tong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS45038 Issued in CA

Practice address

26730 Towne Centre Dr Ste 101
Foothill Ranch, CA 92610-2857

Phone

(949) 859-8599

Fax

(949) 859-1333

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mission Viejo Dental Group

  • General Practice Dentistry
  • Foothill Ranch, CA
  • NPI 1508085648
  NPD Authorized official
• Irvine Spectrum Dental

  • Dental Clinic/Center
  • Irvine, CA
  • NPI 1124547310
  NPD (past) Authorized official

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1689192072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 101",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102857",
            "telephone_number": "949-859-8599",
            "fax_number": "949-859-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 101",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102857",
            "telephone_number": "949-859-8599",
            "fax_number": "949-859-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28715 Los Alisos Blvd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926924986",
            "country_code": "US",
            "telephone_number": "949-859-8599",
            "fax_number": "949-859-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONG",
        "first_name": "CHARLENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45038",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS45038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dale Stouder, M.D.
• Samuel Sunshine, MD
• Suzin Um DDS, Inc
• Jane Swartz
• Brian Tan
• Trojan Medical Center
• Paul H Turek, D.C.
• Suzin Um, D.D.S.
• Karen Uyod
• Ryan Vasquez, PHARMD

• General Practice Dentistry in Foothill Ranch, CA
• Providers in Foothill Ranch, 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 Mar 25, 2023; 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.