Individual provider Active NPI

Ngan Hoang, DMD

  • Dentist
  • Gresham, OR
National Provider Identifier
1003298605
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10262 Issued in OR
Practice address
670 NW Eastman Pkwy
Gresham, OR 97030-7255
Phone
(503) 822-4406
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10262 OR Primary

Addresses

Primary practice location

670 NW Eastman Pkwy
Gresham, OR 97030-7255

Mailing address

8560 SW 147TH Ter Unit 104
Beaverton, OR 97007-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115001796 OR Order and Referring Only - DentistPractitioner - Dentist 4284913286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ngan Hoang, LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

662 NW Murray Blvd
Portland, OR 97229
Phone (503) 641-7165

Networks

  • WA PPO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1003298605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 SW 147TH TER UNIT 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NW EASTMAN PKWY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307255",
            "telephone_number": "503-822-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "NGAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.