Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. WAYNE C. FONG DDS
NPI 1720069222
Dentist - General Practice in Oakland, CA

Active since November 10, 2005PECOS Enrolled
1624 FRANKLIN ST, SUITE 410, OAKLAND, CA 94612(510) 444-1083 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wayne C. Fong Dds NPPES

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

DR. WAYNE C. FONG DDS (NPI 1720069222) is an individual general practice provider in Oakland, California, licensed in California (35884) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720069222
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WAYNE C. FONGCredential: DDS
Location Address1624 FRANKLIN ST, SUITE 410Oakland, CA 94612-2897
Mailing Address1624 Franklin St, Suite 410Oakland, CA 94612-2897 · (510) 444-1083
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1720069222 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 · 35884
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.

1624 FRANKLIN ST, Oakland, CA 94612

Accepted Insurance

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. Wayne C. Fong Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Dentist
1624 FRANKLIN ST, SUITE 615
OAKLAND, CA 94612
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 300
OAKLAND, CA 94612
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 300
OAKLAND, CA 94612
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 1010
OAKLAND, CA 94612
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 1005
OAKLAND, CA 94612
Dentist
1624 FRANKLIN ST, SUITE 405
OAKLAND, CA 94612
Dentist
1624 FRANKLIN ST, SUITE 320
OAKLAND, CA 94612
Dentist (General Practice)
1624 FRANKLIN ST, SUITE #410
OAKLAND, CA 94612

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 Wayne Fong's NPI number?

The NPI number for Wayne Fong is 1720069222. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Wayne Fong located?

Wayne Fong practices at 1624 Franklin St Suite 410, Oakland, CA 94612. The listed phone number is (510) 444-1083.

What is Wayne Fong's specialty?

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

Is Wayne Fong enrolled in Medicare?

Yes. Wayne Fong is registered in the Medicare PECOS enrollment system.

What insurance does Wayne Fong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Wayne Fong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Fong was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.