Hieu Quy Ngo D.M.D. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53253 Issued in CA

Legal business name

HIEU QUY NGO D.M.D. INC.

Practice address

31952 Del Obispo St
Suite #190
San Juan Capistrano, CA 92675-3124

Phone

(949) 493-0611

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Hieu Ngo, D.M.D.

Title

President

Phone

(949) 493-0611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1386862092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31952 DEL OBISPO ST",
            "address_2": "SUITE #190",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753124",
            "telephone_number": "949-493-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31952 DEL OBISPO ST",
            "address_2": "SUITE #190",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753124",
            "telephone_number": "949-493-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEU QUY NGO D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "HIEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-493-0611",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.