Active NPI
Ly Phuong Thi Ngo, DMD, MS
- Dentist
- Lancaster, PA
National Provider Identifier
1154948453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042875
- Practice address
- 1210 Millersville Pike
Lancaster, PA 17603-6656 - Phone
- (717) 299-4300
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS042875 | PA | Primary |
Addresses
Primary practice location
1210 Millersville Pike
Lancaster, PA 17603-6656
Mailing address
12880 Pineforest Way W
Largo, FL 33773-1722
Phone (727) 252-9608
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042875 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dental LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lancaster, PA
- NPI 1467952903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1154948453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12880 PINEFOREST WAY W",
"city": "LARGO",
"state": "FL",
"postal_code": "337731722",
"telephone_number": "727-252-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 MILLERSVILLE PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176036656",
"telephone_number": "717-299-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "LY",
"middle_name": "PHUONG THI",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.