NPIMap

Organization Active NPI

MJ Fong DDS Dental Corporation

  • Dental Clinic/Center
  • Sacramento, CA
National Provider Identifier
1922602986
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MJ FONG DDS DENTAL CORPORATION
Practice address
7210 S Land Park Dr Ste E
Sacramento, CA 95831-3663
Phone
(916) 424-0760
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Dr. Melissa Fong, DDSNPI 1023240900
Title
Owner
Phone
(916) 698-6670

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7210 S Land Park Dr Ste E
Sacramento, CA 95831-3663

Mailing address

7210 S Land Park Dr Ste E
Sacramento, CA 95831-3663
Phone (916) 424-0760

National Provider Directory

National Provider Directory

Locations

7210 S Land Park Dr
Ste E
Sacramento, CA 95831
Phone (916) 424-0760

Practitioners & affiliated clinicians

Practitioners 3

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1922602986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 S LAND PARK DR STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313663",
            "telephone_number": "916-424-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 S LAND PARK DR STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313663",
            "telephone_number": "916-424-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ FONG DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-698-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.