NPIMap

Organization Active NPI

Dr. Vonny Ngantung

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
National Provider Identifier
1497972798
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D8294 Issued in OR
Legal business name
DR. VONNY NGANTUNG
Practice address
482 Lancaster Dr NE
Salem, OR 97301-4784
Phone
(503) 588-7611
Fax
(503) 588-7551
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Vonny Ngantung, D.D.S., M.S.
Title
Orthodontist
Phone
(503) 588-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D8294 OR Primary

Addresses

Primary practice location

482 Lancaster Dr NE
Salem, OR 97301-4784

Mailing address

482 Lancaster Dr NE
Salem, OR 97301-4784
Phone (503) 588-7611

Other names 1

  • Northwest Orthodontic Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Vonny Ngantung2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1497972798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014784",
            "telephone_number": "503-588-7611",
            "fax_number": "503-588-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014784",
            "telephone_number": "503-588-7611",
            "fax_number": "503-588-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VONNY NGANTUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "NGANTUNG",
        "authorized_official_first_name": "VONNY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "503-588-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D8294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.