Individual provider Active NPI

Dean Trinh Ngo, FNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1346687274
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23039 Issued in CA
Practice address
1512 Broadway
Seattle, WA 98122
Phone
(206) 323-4000
Fax
(206) 323-4005
NPI assigned
Jun 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23039 CA Primary

Addresses

Primary practice location

1512 Broadway
Seattle, WA 98122

Mailing address

317 NE 125TH St.
Seattle, WA 98125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925002187 WA Practitioner - Nurse Practitioner 7416177472 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 11, 2016 Accepting new patients
Multicare Health System CurrentSince Dec 11, 2016 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 1, 2023 Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 1, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

13020 Meridian Ave S
Ste 205
Everett, WA 98208
Phone (425) 316-5155

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

20730 Bond Rd NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-1957

1512 Broadway
Seattle, WA 98122
Phone (206) 323-4000

9000 Holman Rd NW
Ste A1
Seattle, WA 98117
Phone (206) 706-9001

20120 Ballinger Way NE
Ste A1
Shoreline, WA 98155
Phone (206) 365-9000

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: dngo2897986@wm.providencedirect.org

Organizations & group practices 6

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": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1346687274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 NE 125TH ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "fax_number": "206-364-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "206-323-4000",
            "fax_number": "206-323-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "DEAN",
        "middle_name": "TRINH",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-01",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.