Individual provider Active NPI

Ming-Fong Laski Kung, DDS, MMSC, MPH

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmichael, CA
National Provider Identifier
1851463848
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
50628 Issued in CA
Practice address
6600 Madison Ave Ste 1
Carmichael, CA 95608-0645
Phone
(916) 961-3250
Fax
(916) 961-3251
NPI assigned
Nov 14, 2006
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 50628 CA Primary

Addresses

Primary practice location

6600 Madison Ave Ste 1
Carmichael, CA 95608-0645

Mailing address

6600 Madison Ave Ste 1
Carmichael, CA 95608-0645
Phone (916) 961-3250

Other identifiers 1

IdentifierTypeStateIssuer
271599686OtherCATAX ID

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1851463848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-961-3250",
            "fax_number": "916-961-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-961-3250",
            "fax_number": "916-961-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "MING-FONG",
        "middle_name": "LASKI",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "50628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "271599686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.