Individual provider Active NPI

Joanne Thu Ngo, D.D.S.

  • Dentist
  • Santa Rosa, CA
National Provider Identifier
1285069609
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62607 Issued in CA
Practice address
1100 Sonoma Ave Ste D
Santa Rosa, CA 95405-8901
Phone
(075) 251-6007
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60899060 WA
Dentist 122300000X 62607 CA Primary

Addresses

Primary practice location

1100 Sonoma Ave Ste D
Santa Rosa, CA 95405-8901

Mailing address

1100 Sonoma Ave Ste D
Santa Rosa, CA 95405-8901
Phone (707) 525-1600

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

LicenseStateTypeSpecialty
60899060WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne Ngo & Tina Ngo, DDS, Inc. Dentist CurrentSince Jan 17, 2022 Accepting new patients

Locations

1100 Sonoma Ave
Ste D
Santa Rosa, CA 95405
Phone (415) 694-3575

Interoperability endpoints

  • Direct secure messaging: jngo614073@direct.ochin.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1285069609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SONOMA AVE STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058901",
            "telephone_number": "707-525-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SONOMA AVE STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058901",
            "telephone_number": "075-251-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "JOANNE",
        "middle_name": "THU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60899060",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.