Active NPI
Emmanuel C Ngoh, DMD
- Endodontics
- Augusta, GA
National Provider Identifier
1467542464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DNES000080
- Practice address
- 3636 Wheeler Road
Augusta, GA 30909 - Phone
- (706) 869-9117
- Fax
- (706) 869-8836
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DNES000080 | GA | Primary |
Addresses
Primary practice location
3636 Wheeler Road
Augusta, GA 30909
Mailing address
3636 Wheeler Road
Augusta, GA 30909
Phone (706) 869-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DNES000080 | GA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmanuel C Ngoh DMD PC | Endodontics | Current | Accepting new patients |
Locations
3636 Wheeler Rd
Augusta, GA 30909
Phone (706) 869-9117
3608 Wheeler Rd
Augusta, GA 30909
Organizations & group practices 1
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": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1467542464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 WHEELER ROAD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-869-9117",
"fax_number": "706-869-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 WHEELER ROAD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-869-9117",
"fax_number": "706-869-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOH",
"first_name": "EMMANUEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DNES000080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.