Active NPI
Ngocan Hoang, DDS
- Dentist
- Richmond, CA
National Provider Identifier
1255772893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61948
- Practice address
- 4131 Macdonald Ave
Richmond, CA 94805-2333 - Phone
- (510) 233-2341
- Fax
- (510) 235-0232
- NPI assigned
- Jul 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61948 | CA | Primary |
Addresses
Primary practice location
4131 Macdonald Ave
Richmond, CA 94805-2333
Mailing address
4131 Macdonald Ave
Richmond, CA 94805-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160808002519 | CA | Order and Referring Only - Dentist | 5597059998 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1255772893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 MACDONALD AVE",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948052333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 MACDONALD AVE",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948052333",
"telephone_number": "510-233-2341",
"fax_number": "510-235-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "NGOCAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.