NPIMap

Organization Active NPI

Tan Ngo DDS PLLC

  • General Practice Dentistry
  • Fulshear, TX
National Provider Identifier
1083337356
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TAN NGO DDS PLLC
Practice address
6520 FM 359 South
Suite 200
Fulshear, TX 77441
Phone
(832) 789-1455
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Tan Ngo, DDSNPI 1457961377
Title
Manager
Phone
(832) 789-1455

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6520 FM 359 South
Suite 200
Fulshear, TX 77441

Mailing address

6520 FM 359 South Suite 200
Suite 200
Fulshear, TX 77441
Phone (832) 789-1455

Other names 1

  • Smiles of Fulshear Doing business as

National Provider Directory

National Provider Directory

Locations

6520 FM 359 Rd S
Ste 200
Fulshear, TX 77441
Phone (832) 789-1455

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1083337356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FM 359 SOUTH SUITE 200",
            "address_2": "SUITE 200",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "77441",
            "telephone_number": "832-789-1455",
            "fax_number": "832-789-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 FM 359 SOUTH",
            "address_2": "SUITE 200",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "77441",
            "telephone_number": "832-789-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN NGO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-789-1455",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Fulshear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiles of Fulshear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.