Individual provider Active NPI

Frankie C Ngo, DMD

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1003469883
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS104000 Issued in CA
Practice address
605 W Route 66
Glendora, CA 91740-4122
Phone
(626) 771-1320
NPI assigned
Jul 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS104000 CA Primary

Addresses

Primary practice location

605 W Route 66
Glendora, CA 91740-4122

Mailing address

5209 Borland Rd
Los Angeles, CA 90032-3915
Phone (626) 427-5931

Other practice location 1

405 W Foothill Blvd Ste 104
Claremont, CA 91711-2799
Phone (909) 626-1236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS104000CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lee and Sambangi Dental Corporation General Practice Past Accepting new patients
Compean Professional Dental Corporation General Practice PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1003469883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 BORLAND RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323915",
            "telephone_number": "626-427-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404122",
            "telephone_number": "626-771-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Foothill Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917112799",
            "country_code": "US",
            "telephone_number": "909-626-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "FRANKIE",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.