Active NPI
Ngan Hoang, DMD
- Dentist
- Gresham, OR
National Provider Identifier
1003298605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10262
- Practice address
- 670 NW Eastman Pkwy
Gresham, OR 97030-7255 - Phone
- (503) 822-4406
- NPI assigned
- Jun 19, 2015
- Last updated
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161115001796 | OR | Order and Referring Only - Dentist | 4284913286 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ngan Hoang, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.