DR. THOMAS FONG DMD
NPI 1689419525
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Thomas Fong's NPI number?

The NPI number for Thomas Fong is 1689419525. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Q: What is Thomas Fong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Fong was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 01, 2024PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-2168(214) 648-7517 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 10, 2025, May 19, 2025, Jul 1, 2024 (3 updates tracked since 2024).

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About Dr. Thomas Fong Dmd NPPES

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

DR. THOMAS FONG DMD (NPI 1689419525) is an individual student in an organized health care education/training program in Dallas, Texas, licensed in Connecticut (14374) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689419525

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. THOMAS FONGCredential: DMD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-9006

Mailing AddressUt Southwestern Medical School 5323 Harry Hines BlvdDallas, TX 75390-9006 · (214) 648-2168 · Fax (214) 648-7517

Phone(214) 648-2168

Fax(214) 648-7517

Sole ProprietorNo

Enumeration DateJuly 1, 2024

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1689419525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CT · 14374

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Fong Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

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