Jimmy Vu Ngo D.D.S., Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

40395 Issued in CA

Legal business name

JIMMY VU NGO D.D.S., INC

Practice address

10562 Westminster Avenue
Suite #B
Garden Grove, CA 92843-4800

Phone

(714) 530-8577

Fax

(714) 530-8578

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Ngo, D.D.S

Title

Orthodontist

Phone

(714) 530-8577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1598907586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10562 WESTMINSTER AVE STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434864",
            "telephone_number": "714-530-8577",
            "fax_number": "714-530-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10562 WESTMINSTER AVENUE",
            "address_2": "SUITE #B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434800",
            "telephone_number": "714-530-8577",
            "fax_number": "714-530-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY VU NGO D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "714-530-8577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B0435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Alejandra Jimenez
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• Orthodontics and Dentofacial Orthopedics Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.