NPIMap

Organization Active NPI

John KS Tong, DDS, Inc.

  • General Practice Dentistry
  • Cupertino, CA
National Provider Identifier
1730229402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44788 Issued in CA
Legal business name
JOHN KS TONG, DDS, INC.
Practice address
10311 S de Anza Blvd
#3
Cupertino, CA 95014-3028
Phone
(408) 996-8000
Fax
(408) 996-8008
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John KS Tong, DDSNPI 1508943812
Title
Owner
Phone
(408) 996-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44788 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1508943812OtherCAINDIVIDUAL NO.

National Provider Directory

National Provider Directory

Locations

10311 S De Anza Blvd
Ste 3
Cupertino, CA 95014
Phone (408) 996-8000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730229402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD",
            "address_2": "#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": "#3",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-996-8000",
            "fax_number": "408-996-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KS TONG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-996-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NO.",
            "identifier": "1508943812",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.