Minh-Khang Eric Ngo Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MINH-KHANG ERIC NGO DENTAL CORPORATION

Practice address

980 Pacific St Ste a
Placerville, CA 95667-5653

Phone

(530) 622-4188

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Minh-Khang Eric Ngo, DDSNPI 1629479480

Title

President

Phone

(916) 995-5588

Specialties & licenses 1

Addresses

Other names 1

• Mihn-Khang Eric Ngo Dental Corporation Other name

Locations

Practitioners 2

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

• Minh-Khang Eric Ngo, D.D.S.

  • General Practice Dentistry
  • Placerville, CA
  • NPI 1629479480
  NPD Authorized official
• Ture Dane Roslund, DDS

  • Dentist
  • Placerville, CA
  • NPI 1417965377
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1669057295",
    "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": {
        "organization_name": "MINH-KHANG ERIC NGO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "MINH-KHANG",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-995-5588",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mihn-Khang Eric Ngo Dental Corporation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mihn-Khang Eric Ngo Dental Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janice Karen Miller, PSYCH TECH
• Shirley J. Miller, LCSW
• Sara Beth Mills
• Daniel Patrick Miner, RADT-1
• Lauren Elizabeth Miner, CADC II
• Angela Minor
• Danielle Miranda
• Stephanie Mirando, PHARM.D
• Mission Dental
• Jay Edward Mitchell-Wright

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.