DR. JOHNNIE FONG DDS
NPI 1174541478
Dentist - General Practice in San Francisco, CA

Q: What is Johnnie Fong's NPI number?

The NPI number for Johnnie Fong is 1174541478. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Johnnie Fong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Johnnie Fong was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006

1788 SUTTER ST, SUITE 201, SAN FRANCISCO, CA 94115(415) 563-2000(415) 775-1967 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Johnnie Fong Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNNIE FONG DDS (NPI 1174541478) is an individual general practice provider in San Francisco, California, licensed in California (25140) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174541478

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHNNIE FONGCredential: DDS

Location Address1788 SUTTER ST, SUITE 201San Francisco, CA 94115-3218

Mailing Address1788 Sutter St, Suite 201San Francisco, CA 94115-3218 · (415) 563-2000 · Fax (415) 775-1967

Phone(415) 563-2000

Fax(415) 775-1967

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateJune 3, 2013

✔ NPI 1174541478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 25140

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1788 SUTTER ST, San Francisco, CA 94115

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE AUDRA SHINBORI D.D.S.

Dentist (Endodontics)

1788 SUTTER ST
SAN FRANCISCO, CA 94115

San Francisco County (415) 563-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnnie Fong's NPI number?

The NPI number for Johnnie Fong is 1174541478. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Johnnie Fong located?

Johnnie Fong practices at 1788 Sutter St Suite 201, San Francisco, CA 94115. The listed phone number is (415) 563-2000.

What is Johnnie Fong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Johnnie Fong was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.