Individual provider Active NPI

Duy Hoang Minh Ngo

  • Dentist
  • Asheboro, NC
National Provider Identifier
1205417540
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12245 Issued in NC
Practice address
125 S Park St
Asheboro, NC 27203-5624
Phone
(336) 626-7232
Fax
(336) 625-5724
NPI assigned
Apr 19, 2021
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12245 NC Primary

Addresses

Primary practice location

125 S Park St
Asheboro, NC 27203-5624

Mailing address

125 S Park St
Asheboro, NC 27203-5624
Phone (336) 626-7232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713001053 NC Order and Referring Only - DentistPractitioner - Dentist 7517369648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12245NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Dental Care PastSince Jul 3, 2022 Accepting new patients
William Milner DDS PA PastSince Jul 3, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1205417540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S PARK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035624",
            "telephone_number": "336-626-7232",
            "fax_number": "336-625-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S PARK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035624",
            "telephone_number": "336-626-7232",
            "fax_number": "336-625-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "DUY",
        "middle_name": "HOANG MINH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.