Kiet Xuan Ngo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45504 Issued in CA

Practice address

316 E Las Tunas Dr
Suite #204
San Gabriel, CA 91776-1535

Phone

(626) 292-7233

Fax

(626) 292-7238

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kiet Xuan Ngo DDS Inc.

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1396990966
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1427200427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR",
            "address_2": "SUITE #204",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-292-7233",
            "fax_number": "626-292-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR",
            "address_2": "SUITE #204",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-292-7233",
            "fax_number": "626-292-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KIET",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suet NG, AMFT
• William NG, MD
• Bonita H Sharma Ngan, PPS SCHOOLPSYCHOLOGY
• Beatrice Bich-Van Nghiem, RPH
• Hy Phung Ngo, MD
• Ngoc Tuan Nguyen MD Inc
• Thanh Quynh Nguyen-Vu, D.D.S.
• Aivan Nguyen, DDS
• Ngocthe T Nguyen, RN
• Steven Nguyen, DO

• Dentist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.