Active NPI
Ernest NG, DMD
- Dentist
- Portland, OR
National Provider Identifier
1255654349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6765
- Practice address
- 2556 NE 56TH Ave
Portland, OR 97213-3407 - Phone
- (503) 284-8882
- NPI assigned
- Mar 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D6765 | OR | Primary |
Addresses
Primary practice location
2556 NE 56TH Ave
Portland, OR 97213-3407
Mailing address
2556 NE 56TH Ave
Portland, OR 97213-3407
Phone (503) 284-8882
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6765 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1255654349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2556 NE 56TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133407",
"telephone_number": "503-284-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2556 NE 56TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133407",
"telephone_number": "503-284-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "ERNEST",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D6765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.