Thanhdung Khong NG

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

102380 Issued in CA

Practice address

201 N College Dr Ste 102
Santa Maria, CA 93454-4614

Phone

(805) 623-8489

Fax

(805) 623-8513

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Thanh Khong NG Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thanh NG DDS Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Maria, CA
  • NPI 1265021901
  NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1235625542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR STE 102",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-623-8489",
            "fax_number": "805-623-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR STE 102",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-623-8489",
            "fax_number": "805-623-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "THANHDUNG",
        "middle_name": "KHONG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "102380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THANH",
            "last_name": "NG",
            "middle_name": "KHONG",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• NFC Behavior Consulting, LLC
• Christopher K NG, O.D.
• Daniel Thien NG, D.D.S.
• Derek NG, DDS
• Ron T. NG, O.D.
• Melodie Ngo
• Carol Uyen Nguyen, PA
• Christie Nguyen
• Dana Nguyen
• Diane Nguyen

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.