Active NPI
Glenn Ho Ngan, D.D.S.
- Prosthodontics
- New York, NY
National Provider Identifier
1669639464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 046902
- Practice address
- 19 Bowery
Suite 5
New York, NY 10002-6702 - Phone
- (212) 431-4306
- Fax
- (212) 625-8922
- NPI assigned
- May 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 046902 | NY | Primary |
Addresses
Primary practice location
19 Bowery
Suite 5
New York, NY 10002-6702
Mailing address
19 Bowery
Suite 5
New York, NY 10002-6702
Phone (212) 431-4306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046902 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatham Square Dental Associate, PC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1154838068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1669639464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BOWERY",
"address_2": "SUITE 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100026702",
"telephone_number": "212-431-4306",
"fax_number": "212-625-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BOWERY",
"address_2": "SUITE 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100026702",
"telephone_number": "212-431-4306",
"fax_number": "212-625-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAN",
"first_name": "GLENN",
"middle_name": "HO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "046902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.