Individual provider Active NPI

Tam Thanh Ngo, DDS

  • Dentist
  • Westminster, CA
National Provider Identifier
1013223429
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59705 Issued in CA
Practice address
10051 Bolsa Ave # A1
Westminster, CA 92683-6713
Phone
(714) 839-6631
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59705 CA Primary

Addresses

Primary practice location

10051 Bolsa Ave # A1
Westminster, CA 92683-6713

Mailing address

10051 Bolsa Ave # A1
Westminster, CA 92683-6713
Phone (714) 839-6631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160425000589 CA Order and Referring Only - DentistPractitioner - Dentist 2961701073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tien Thi My Ngo DDS Inc Dentist Past Accepting new patients
Tam Ngo DDS, Inc. Dentist Past 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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1013223429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 BOLSA AVE # A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836713",
            "telephone_number": "714-839-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 BOLSA AVE # A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836713",
            "telephone_number": "714-839-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TAM",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.