NPIMap

Organization Active NPI

Vinh Ngo Dentistry PLLC

Doing business as Golden Crescent Family Dentistry

  • Dentist
  • Victoria, TX
National Provider Identifier
1346760550
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VINH NGO DENTISTRY PLLC
Doing business as
Golden Crescent Family Dentistry
Practice address
1505 E Rio Grande St # 120
Victoria, TX 77901-7396
Phone
(361) 575-8000
NPI assigned
Jun 20, 2017
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Mary Pu
Title
VP of Finance
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1505 E Rio Grande St # 120
Victoria, TX 77901-7396

Mailing address

PO Box 734753
Dallas, TX 75373-4753
Phone (972) 869-3789

Other names 1

  • Golden Crescent Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1505 E Rio Grande St
Ste 120
Victoria, TX 77901
Phone (361) 235-4283

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1346760550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E RIO GRANDE ST # 120",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779017396",
            "telephone_number": "361-575-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINH NGO DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Crescent Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.