Individual provider Active NPI

Wing Fung, DMD

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1801577416
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110555 Issued in CA
Practice address
388 9TH St Ste 210
Oakland, CA 94607-4293
Phone
(510) 893-5708
NPI assigned
Jul 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8082 NV
General Practice Dentistry 1223G0001X 110555 CA Primary

Addresses

Primary practice location

388 9TH St Ste 210
Oakland, CA 94607-4293

Mailing address

388 9TH St Ste 210
Oakland, CA 94607-4293

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
110555CAMDGeneral Practice Dentistry
8082NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Choi DDS Professional Dental Corporation CurrentSince Aug 18, 2024 Accepting new patients
Lili Xu, DDS, Apc PastSince Aug 18, 2024 Accepting new patients

Locations

388 9th St
Ste 210
Oakland, CA 94607
Phone (510) 893-5678

Organizations & group practices 2

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1801577416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 9TH ST STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 9TH ST STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074293",
            "telephone_number": "510-893-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "WING",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "8082",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.