Timothy Tang Ngo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD4560 Issued in NM

Practice address

6211 4TH St NW Ste 13
Albuquerque, NM 87107-5762

Phone

(505) 634-5541

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sunset Dental, LLC

  dba Family Choice Dental

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1992226401
  NPD Authorized official
• Hero Vision of Albuquerque LLC

  dba Adventure Dental Vision and Orthondontics

  • Optometrist
  • Albuquerque, NM
  • NPI 1780954800
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1073964730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 4TH ST NW STE 13",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075762",
            "telephone_number": "505-821-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 4TH ST NW STE 13",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075762",
            "telephone_number": "505-634-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TIMOTHY",
        "middle_name": "TANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30570280",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Ngo, MD
• Helen Ngo, PHARM. D.
• Lan Shu Ngo
• Paula Ngo, DMD
• Thy Ngo
• Damian Sunday Ngodo
• Stanislaus Ngola Jr.
• D'Lyn Nguyen Arnamnart, PTA
• Jacqueline Thu Nguyen-Espino, DO
• Ngan Nguyen-Hua, PHARMD

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.