Midwest Direct Mobile Dental, Taiwo Ngo LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDWEST DIRECT MOBILE DENTAL, TAIWO NGO LLC

Practice address

7907 Quarry Rd
Maumee, OH 43537-9447

Phone

(313) 574-8541

NPI assigned

Apr 24, 2025

Organization subpart

No

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

Authorized official

Name

Taiwo Ngo, DDSNPI 1104837145

Title

Dentist Owner

Phone

(313) 574-8541

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Taiwo Oheosa Ngo, DDS

  • Dentist
  • Toledo, OH
  • NPI 1104837145
  NPD Authorized official

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1669269361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 QUARRY RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379447",
            "telephone_number": "313-574-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 QUARRY RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379447",
            "telephone_number": "313-574-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIRECT MOBILE DENTAL, TAIWO NGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "313-574-8541",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Maumee, OH
• Providers in Maumee, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.