NG Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

56490 Issued in CA

Legal business name

NG DENTAL CORP

Practice address

195 N Thompson Ave
Ste. 3
Nipomo, CA 93444-9029

Phone

(805) 929-1888

Fax

(805) 929-1880

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Douglas NG, DDS

Title

Owner/Dentist

Phone

(805) 929-1888

Specialties & licenses 1

Addresses

Other names 1

• Nipomo Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1124415658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N THOMPSON AVE",
            "address_2": "STE. 3",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449029",
            "telephone_number": "805-929-1888",
            "fax_number": "805-929-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N THOMPSON AVE",
            "address_2": "STE. 3",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449029",
            "telephone_number": "805-929-1888",
            "fax_number": "805-929-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "805-929-1888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nipomo Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jutta H Merraim
• Sara Emily Messer, OTR/L, SCEM, ECHMHTC
• Dane Royal Moore, DC
• Belinda Leah Morabito
• Chin Chon NG Chan
• Nipomo Dental Group of Andrew Young DDS Inc
• Nipomo Optometry Inc
• Nipomo Pharmacy Inc
• Shannon R Olson, DDS
• Romeo S Ortiz, MD

• Dentist in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.