Organization Active NPI

Michael Q Ngo

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1225212798
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42376 Issued in CA
Legal business name
MICHAEL Q NGO
Practice address
1332 E Chapman Ave
Fullerton, CA 92831-3954
Phone
(714) 680-3377
Fax
(714) 680-0098
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Eveline K Gani
Title
Office Manager
Phone
(714) 680-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42376 CA Primary

Addresses

Primary practice location

1332 E Chapman Ave
Fullerton, CA 92831-3954

Mailing address

1332 E Chapman Ave
Fullerton, CA 92831-3954
Phone (714) 680-3377

Other names 1

  • Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1332 E Chapman Ave
Fullerton, CA 92831
Phone (714) 253-4308

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1225212798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313954",
            "telephone_number": "714-680-3377",
            "fax_number": "714-680-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313954",
            "telephone_number": "714-680-3377",
            "fax_number": "714-680-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Q NGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "GANI",
        "authorized_official_first_name": "EVELINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-680-3377"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.