Individual provider Active NPI

Roxana Yu Fung Io, DMD

  • General Practice Dentistry
  • Framingham, MA
National Provider Identifier
1700954286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
200098 Issued in MA
Practice address
463 Worcester Road
Suite 201
Framingham, MA 01701
Phone
(508) 820-7792
Fax
(508) 872-5483
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

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 200098 MA Primary

Addresses

Primary practice location

463 Worcester Road
Suite 201
Framingham, MA 01701

Mailing address

38 Blue Jay Lane
Ashland, MA 01721
Phone (508) 881-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629000425 MA Order and Referring Only - DentistPractitioner - Dentist 4688986029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200098MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sham Tang and Tam PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700954286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLUE JAY LANE",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "01721",
            "telephone_number": "508-881-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WORCESTER ROAD",
            "address_2": "SUITE 201",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01701",
            "telephone_number": "508-820-7792",
            "fax_number": "508-872-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IO",
        "first_name": "ROXANA YU FUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "200098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.