Active NPI
Nancy M Ngo, DDS
- Dentist
- Addison, IL
National Provider Identifier
1235372947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.027874
- Practice address
- 200 W. Lake Street
Addison, IL 60101 - Phone
- (888) 988-4066
- NPI assigned
- Apr 10, 2009
- Last updated
- Apr 10, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS 037307 | PA | |
| Dentist | 122300000X | 019.027874 | IL | Primary |
Addresses
Primary practice location
200 W. Lake Street
Addison, IL 60101
Mailing address
505 N Lake Shore Dr Apt 2611
Chicago, IL 60611-6419
Phone (410) 814-8226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027874 | IL | MD | Dentist |
| DS 037307 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1235372947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N LAKE SHORE DR APT 2611",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606116419",
"telephone_number": "410-814-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W. LAKE STREET",
"city": "ADDISON",
"state": "IL",
"postal_code": "60101",
"telephone_number": "888-988-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "NANCY",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS 037307",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.