Organization Active NPI

Hon W Fong DPM PLLC

  • Podiatrist
  • Canton, MI
National Provider Identifier
1790868826
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
HF002084 Issued in MI
Legal business name
HON W FONG DPM PLLC
Practice address
2050 N Haggerty Rd Ste 120
Canton, MI 48187-3796
Phone
(734) 981-1086
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Authorized official

Name
Dr. Hon W Fong, DPMNPI 1316910227
Title
Owner
Phone
(734) 716-6434

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X HF002084 MI Primary

Addresses

Primary practice location

2050 N Haggerty Rd Ste 120
Canton, MI 48187-3796

Mailing address

PO Box 87949
Canton, MI 48187-0949
Phone (734) 716-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000229 MI Part B Supplier - Clinic/Group Practice 6406877745 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI; Dearborn, MI; Southgate, MI; Taylor, MI; Wayne, MI

National Provider Directory

National Provider Directory

Locations

8546 N Canton Center Rd
Canton, MI 48187
Phone (800) 971-4948

25430 Goddard Rd
Taylor, MI 48180
Phone (313) 291-2637

Practitioners & affiliated clinicians

Practitioners 1

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212278400000",
    "number": "1790868826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87949",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870949",
            "telephone_number": "734-716-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD STE 120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873796",
            "telephone_number": "734-981-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HON W FONG DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-01",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "HON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-716-6434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "HF002084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.