Organization Active NPI

Kelvin Ngo DMD & Associates, PLLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1245645456
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7285 Issued in AZ
Legal business name
KELVIN NGO DMD & ASSOCIATES, PLLC
Practice address
11851 N 51St Ave
#120
Glendale, AZ 85304-2809
Phone
(623) 419-5683
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Kelvin Ngo, DMD
Title
Member
Phone
(617) 620-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7285 AZ Primary

Addresses

Primary practice location

11851 N 51St Ave
#120
Glendale, AZ 85304-2809

Mailing address

11851 N 51St Ave
#120
Glendale, AZ 85304-2809
Phone (623) 419-5683

Other names 1

  • A Wink and A Smile of AZ Doing business as

National Provider Directory

National Provider Directory

Locations

11851 N 51st Ave
#120
Glendale, AZ 85304
Phone (480) 378-3388

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1245645456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE",
            "address_2": "#120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042809",
            "telephone_number": "623-419-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE",
            "address_2": "#120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042809",
            "telephone_number": "623-419-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN NGO DMD & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-620-4309",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Wink and A Smile of AZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.