Organization Active NPI

An Ngoc Ly DMD Dental Corporation

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1528995552
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AN NGOC LY DMD DENTAL CORPORATION
Practice address
149 E Lincoln Ave
Orange, CA 92865-1136
Phone
(714) 818-3520
NPI assigned
May 5, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
An Ngoc Ly, DMDNPI 1073174884
Title
President
Phone
(714) 818-3520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

149 E Lincoln Ave
Orange, CA 92865-1136

Mailing address

1125 S Torry PL
Anaheim, CA 92806-4924
Phone (714) 818-3520

National Provider Directory

National Provider Directory

Locations

149 E Lincoln Ave
Orange, CA 92865
Phone (714) 283-9188

Practitioners & affiliated clinicians

Practitioners 1

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": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1528995552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S TORRY PL",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064924",
            "telephone_number": "714-818-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E LINCOLN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651136",
            "telephone_number": "714-818-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN NGOC LY DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-818-3520",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.