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Deactivated NPI 1821184714 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Allen Chong , DDS

Dentist • Fremont, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Chong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2006
NPI Deactivation Date March 07, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Chong, DDS was a registered Dentist practicing in Fremont, CA. Throughout an active medical career spanning 11 years, Dr. Chong provided care at the practice location at 39572 STEVENSON PL until profile deactivation on 2017-03-07.

Practice Location & Contact Primary Location

Practice Address

39572 Stevenson Pl
Suite 226

Fremont, CA 945393075

Telephone 5107902919
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
119 Specialists

Practicing in Fremont, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 29026

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1114068210

Doctor of Dental Surgery

Dr. Paul Fracolli , DDS

Dentist - General Practice

NPI 1235277872

Doctor of Dental Surgery

Dr. G-Hong Hsu , DDS, MS

Dentist - Endodontics

NPI 1275632853

Doctor of Dental Surgery, Master of Science

Dr. Elisa Rara , DMD

Dentist - General Practice

NPI 1316078926

Doctor of Dental Medicine

Dr. Terry Han , DDS

Dentist - Endodontics

NPI 1427157916

Doctor of Dental Surgery

Dr. Gayatri Sakhrani , DMD

Dentist - General Practice

NPI 1538296306

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2017

Record deactivated on March 07, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 39572 STEVENSON PL, SUITE 226, FREMONT, CA 945393075 (Tel: 5107902919)

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Updated Business Mailing Address July 08, 2007

Registered at 39572 STEVENSON PL, SUITE 226, FREMONT, CA 945393075 (Tel: 5107902919)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH CHONG, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #29026 in CA)

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Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821184714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Deactivation Date: March 07, 2017

Mailing Address

39572 Stevenson Pl, Suite 226

Fremont, CA 945393075

Phone: 5107902919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.