Dan W. Fong, D.D.S., a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28440 Issued in CA

Legal business name

DAN W. FONG, D.D.S., A PROFESSIONAL CORPORATION

Practice address

5659 Stockton Blvd
Suite 2
Sacramento, CA 95824-1611

Phone

(916) 451-2473

Fax

(916) 451-0620

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dan W. Fong, D.D.S.

Title

President/Dentist

Phone

(916) 451-2473

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1841490992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 STOCKTON BLVD",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958241611",
            "telephone_number": "916-451-2473",
            "fax_number": "916-451-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 STOCKTON BLVD",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958241611",
            "telephone_number": "916-451-2473",
            "fax_number": "916-451-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN W. FONG, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "916-451-2473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Damo, OTR
• Keiko Kurakazu Damon, PT
• Lauren Elizabeth Damon, MD
• Amanda Louise Damron, M.S.,CCC-A
• Angela J Damron, RD
• Michele Danao, LMFT
• Stefani Romo Danch, N.P.
• Jenna Alyssa Dancy
• Arthi Dandempally
• Mark Dandeneau, MSW

• Dental Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.