Organization Active NPI

Tracy D Ngo D.D.S. Inc

  • General Practice Dentistry
  • Chino, CA
National Provider Identifier
1194907196
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41120 Issued in CA
Legal business name
TRACY D NGO D.D.S. INC
Practice address
12411 Central Ave
Chino, CA 91710-2604
Phone
(909) 591-8895
Fax
(909) 591-3503
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Mrs. Tracy D Ngo, DDSNPI 1952421919
Title
President
Phone
(909) 591-8895

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41120 CA Primary

Addresses

Primary practice location

12411 Central Ave
Chino, CA 91710-2604

Mailing address

12411 Central Ave
Chino, CA 91710-2604
Phone (909) 591-8895

Other names 1

  • Tracy D Ngo DDS, Inc. Other name

National Provider Directory

National Provider Directory

Locations

12411 Central Ave
Chino, CA 91710
Phone (909) 591-8895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1194907196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102604",
            "telephone_number": "909-591-8895",
            "fax_number": "909-591-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102604",
            "telephone_number": "909-591-8895",
            "fax_number": "909-591-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY D NGO D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-591-8895",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy D Ngo DDS, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.