Individual provider Active NPI

Taiwo Oheosa Ngo, DDS

  • Dentist
  • Toledo, OH
National Provider Identifier
1104837145
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21093 Issued in OH
Practice address
5350 Airport Hwy Ste 109
Toledo, OH 43615-6813
Phone
(419) 382-8888
Fax
(419) 725-0068
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21093 OH Primary

Addresses

Primary practice location

5350 Airport Hwy Ste 109
Toledo, OH 43615-6813

Mailing address

7907 Quarry Rd
Maumee, OH 43537-9447
Phone (419) 861-7257

Other practice location 1

7907 Quarry Rd
Maumee, OH 43537-9447
Phone (313) 574-8541

Other practice location 2

1910 Cherry St
Toledo, OH 43608-2802
Phone (419) 255-9000

Other practice location 3

240 W Alexis Rd Ste F
Toledo, OH 43612-5110
Phone (419) 475-5450

Other identifiers 1

IdentifierTypeStateIssuer
2166294MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21093OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Dental Inc CurrentSince Nov 8, 2025 Accepting new patients
Midwest Direct Mobile Dental, Taiwo Ngo LLC CurrentSince Apr 27, 2025 Accepting new patients
St. Mary Home Healthcare Inc Past Accepting new patients
Bakana Group Inc Dentist Past Accepting new patients
Kalabari Inc Dentist Past Accepting new patients
Lexington and Mardjj Inc Dentist Past Accepting new patients

Locations

5350 Airport Hwy
Ste 109
Toledo, OH 43615
Phone (419) 382-8888

240 W Alexis Rd
Ste F
Toledo, OH 43612
Phone (419) 475-5450

Organizations & group practices 6

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1104837145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 QUARRY RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379447",
            "telephone_number": "419-861-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 AIRPORT HWY STE 109",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156813",
            "telephone_number": "419-382-8888",
            "fax_number": "419-725-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7907 Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435379447",
            "country_code": "US",
            "telephone_number": "313-574-8541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082802",
            "country_code": "US",
            "telephone_number": "419-255-9000",
            "fax_number": "419-725-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 W Alexis Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436125110",
            "country_code": "US",
            "telephone_number": "419-475-5450",
            "fax_number": "419-475-5462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "TAIWO",
        "middle_name": "OHEOSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.