DR. BRIAN WILLIAM FONG D.M.D.
NPI 1720184294
Dentist in Redwood City, CA

Q: What is Brian Fong's NPI number?

The NPI number for Brian Fong is 1720184294. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Brian Fong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Fong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 15, 2006PECOS Enrolled

3023 BROADWAY, REDWOOD CITY, CA 94062(650) 474-0551(650) 474-0553 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Brian William Fong D.m.d. NPPES

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

DR. BRIAN WILLIAM FONG D.M.D. (NPI 1720184294) is an individual dentist in Redwood City, California, licensed in California (50138) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720184294

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRIAN WILLIAM FONGCredential: D.M.D.

Location Address3023 BROADWAYRedwood City, CA 94062-1511

Mailing Address3023 BroadwayRedwood City, CA 94062-1511 · (650) 474-0551 · Fax (650) 474-0553

Phone(650) 474-0551

Fax(650) 474-0553

Sole ProprietorYes

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720184294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 50138

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3023 BROADWAY, Redwood City, CA 94062

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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. Brian William Fong D.m.d. 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 94062 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

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

EMILY ELIZABETH KOTH

Dental Hygienist

3023 BROADWAY
REDWOOD CITY, CA 94062

San Mateo County (650) 474-0551

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 Brian Fong's NPI number?

The NPI number for Brian Fong is 1720184294. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Brian Fong located?

Brian Fong practices at 3023 Broadway, Redwood City, CA 94062. The listed phone number is (650) 474-0551.

What is Brian Fong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brian Fong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brian Fong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.