DR. JENNIFER ALICIA FONG (NPI# 1720102106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720102106 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ALICIA FONG |
| Credential | DDS |
| Practice Address |
6900 Pecos Rd North Las Vegas NV 89086-4400 |
| Practice Telephone | 7027919019 |
| Mailing Telephone | 7027919019 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
54833 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205331634 | Jennifer Fong | Student in an Organized Health Care Education/Training Program | 622 W 168th St Ph 5-133, New York, NY 10032-3720 | 2018-03-27 |
| 1548782188 | Jennifer Keiko Fong | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2017-07-14 |
| 1699225045 | Jennifer Fong | Occupational Therapist | 3903 Harrison Blvd, 400, Ogden, UT 84403-2314 | 2016-10-10 |
| 1114256955 | Jennifer K Fong | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3551 | 2009-12-07 |
| 1235385493 | Jennifer Melissa Fong | Dentist | 333 Gellert Blvd, Suite #242, Daly City, CA 94015-2621 | 2008-08-07 |
| 1912104522 | Jennifer Song Fong | Nurse Practitioner | 3415 Bainbridge Ave, Childrens Hospital of Montefiore, Bronx, NY 10467 | 2007-06-27 |
| 1922141043 | Jennifer Lee Fong | Chiropractor | 2414 14th St, Sacramento, CA 95818-2209 | 2007-02-15 |
| 1295703023 | Jennifer Lynn Fong | Optometrist | 1689 Arden Way, #1091, Sacramento, CA 95815-4030 | 2006-03-09 |
| Street Address |
6900 PECOS RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718991 | Meeta Patel | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2005-05-24 |
| 1437677556 | Seung Ki Min | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-09-08 |
| 1518485077 | Megan Elizabeth Theuerkauf | Specialist/Technologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-09-05 |
| 1407374309 | Alicia Blenkush | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-31 |
| 1407372576 | Rachal Brown | Audiologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-20 |
| 1447776505 | Lindsey Rae Fadely | Registered Nurse | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-20 |
| 1114442977 | Douglas James Deak | Occupational Therapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-13 |
| 1205351327 | Sarah A Yao | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-09 |
| 1265957559 | Martin Alvarez | Social Worker | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-08 |
| 1285158725 | Michelle L Crawford | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303840 | Harrison Luu | Dentist | 4250 Simmons St Ste 100, North Las Vegas, NV 89032-0769 | 2020-07-06 |
| 1356822498 | Civic Center Dental Partners Wright Pllc | Dentist | 2500 E Lake Mead Blvd, North Las Vegas, NV 89030-6464 | 2018-08-27 |
| 1336629039 | Jonathan Minsoo Skelton | Dentist | 1820 E Craig Rd Ste 102, North Las Vegas, NV 89030-3321 | 2018-08-21 |
| 1730558859 | Lynda Alexi Torres | Dentist | 3896 N. Martin Luther King Blvd., North Las Vegas, NV 89032 | 2015-09-18 |
| 1720495872 | Steven Delisle Dds P.C. | Dentist | 4080 N Mlk Blvd Ste 101b, North Las Vegas, NV 89032-3217 | 2014-07-21 |
| 1831504612 | Amanda Campbell | Dentist | 4090 North M.l.k. Blvd, North Las Vegas, NV 89032 | 2014-06-30 |
| 1124431200 | Khalid R Jilani | Dentist | 2668 Las Vegas Blvd N Ste 101, North Las Vegas, NV 89030-5870 | 2014-06-06 |
| 1215353511 | Steven Delisle Dds PC | Dentist | 4090 N Martin L King Blvd, North Las Vegas, NV 89032-3218 | 2014-03-11 |
| 1336385301 | Absolute Dental Losee LLC | Dentist | 5892 Losee Rd, #135, North Las Vegas, NV 89081-6599 | 2008-12-22 |
| 1922257542 | Jeffrey W Henkes | Dentist | 1631 W Craig Rd, Suite 10, North Las Vegas, NV 89032-0227 | 2008-09-18 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
Please comment or provide details below to improve the information on DR. JENNIFER ALICIA FONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.