NPIMap

Organization Active NPI

Tien Thi My Ngo DDS Inc

  • Dentist
  • Westminster, CA
National Provider Identifier
1053448423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37144 Issued in CA
Legal business name
TIEN THI MY NGO DDS INC
Practice address
10051 Bolsa Ave
# A1
Westminster, CA 92683
Phone
(714) 839-6631
Fax
(714) 839-2475
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tien Thi My Ngo, DDSNPI 1104953819
Title
President
Phone
(714) 839-6631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37144 CA Primary

Addresses

Primary practice location

10051 Bolsa Ave
# A1
Westminster, CA 92683

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
B3714401MedicaidCA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053448423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 BOLSA AVE",
            "address_2": "# A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-839-6631",
            "fax_number": "714-839-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 BOLSA AVE",
            "address_2": "# A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-839-6631",
            "fax_number": "714-839-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIEN THI MY NGO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "THI MY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-839-6631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3714401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.