Minh-Khang Eric Ngo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63991 Issued in CA

Practice address

980 Pacific St Ste a
Placerville, CA 95667-5653

Phone

(530) 622-4188

NPI assigned

Sep 11, 2014

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minh-Khang Eric Ngo Dental Corporation

  • General Practice Dentistry
  • Placerville, CA
  • NPI 1669057295
  NPD Authorized official

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1629479480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 PACIFIC ST STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675653",
            "telephone_number": "530-622-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 PACIFIC ST STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675653",
            "telephone_number": "530-622-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "MINH-KHANG",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Morning Youth & Family Services, Inc
• New Morning Youth and Family Services
• Paul David Newton, P.T.
• Nexstep Mobility, LLC
• Michael Ngo, M.D.
• Tam-an Nguyen, O.D.
• Thanh Trang Thi Nguyen, MD
• Thienthy Nguyen, AMFT
• Nicholas D. Simopoulos MD Inc
• Aryon Michelle Nielsen, PA-C

• General Practice Dentistry in Placerville, CA
• Providers in Placerville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.