Active NPI
Peter Kin Tung Ngai, DMD
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1083606388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 40690
- Practice address
- 9727 Elk Grove Florin Rd
Suite 200
Elk Grove, CA 95624-2264 - Phone
- (916) 685-3777
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 40690 | CA | Primary |
Addresses
Primary practice location
9727 Elk Grove Florin Rd
Suite 200
Elk Grove, CA 95624-2264
Mailing address
9727 Elk Grove Florin Rd
Suite 200
Elk Grove, CA 95624-2264
Phone (916) 685-3777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 31, 2016 through May 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083606388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9727 ELK GROVE FLORIN RD",
"address_2": "SUITE 200",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242264",
"telephone_number": "916-685-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9727 ELK GROVE FLORIN RD",
"address_2": "SUITE 200",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242264",
"telephone_number": "916-685-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAI",
"first_name": "PETER",
"middle_name": "KIN TUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "40690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.