Organization Active NPI

Emmanuel C Ngoh DMD PC

Doing business as Augusta Endodontic Center

  • Endodontics
  • Augusta, GA
National Provider Identifier
1154629855
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
LCB20010026537 Issued in GA
Legal business name
EMMANUEL C NGOH DMD PC
Doing business as
Augusta Endodontic Center
Practice address
3636 Wheeler Rd
Augusta, GA 30909
Phone
(706) 869-9117
Fax
(706) 869-8836
NPI assigned
Mar 3, 2011
Last updated
Aug 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Dr. Emmanuel C Ngoh, DMDNPI 1467542464
Title
Owner
Phone
(706) 869-9117

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
Endodontics 1223E0200X LCB20010026537 GA Primary

Addresses

Primary practice location

3636 Wheeler Rd
Augusta, GA 30909

Mailing address

3636 Wheeler Rd
Augusta, GA 30909
Phone (706) 869-9117

Other names 1

  • Augusta Endodontic Center Doing business as

National Provider Directory

National Provider Directory

Locations

3608 Wheeler Rd
Augusta, GA 30909

3636 Wheeler Rd
Augusta, GA 30909
Phone (706) 869-9117

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1154629855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-869-9117",
            "fax_number": "706-869-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-869-9117",
            "fax_number": "706-869-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL C NGOH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "NGOH",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-869-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "LCB20010026537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Endodontic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.