Organization Active NPI

Phuong Lan Ngo DDS PA

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1306189279
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PHUONG LAN NGO DDS PA
Practice address
3443 W Campbell Rd Ste 650
Garland, TX 75044-8146
Phone
(214) 926-1290
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Dr. Phuong Lan Ngo, DDSNPI 1417184763
Title
President
Phone
(214) 926-1290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3443 W Campbell Rd Ste 650
Garland, TX 75044-8146

Mailing address

3306 Owens Blvd
Richardson, TX 75082-3030
Phone (214) 926-1290

Other identifiers 1

IdentifierTypeStateIssuer
203451401MedicaidTX

National Provider Directory

National Provider Directory

Locations

3443 W Campbell Rd
Ste 650
Garland, TX 75044
Phone (972) 414-1515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1306189279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 OWENS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823030",
            "telephone_number": "214-926-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 W CAMPBELL RD STE 650",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750448146",
            "telephone_number": "214-926-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG LAN NGO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "LAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-926-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203451401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.