Active NPI
Kelvin Ngo DMD & Associates, PLLC
- Dentist
- Glendale, AZ
National Provider Identifier
1245645456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7285
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.