Individual provider Active NPI

Ngoc Lan Vo

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1679706766
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58563 Issued in CA
Practice address
21 W Duarte Rd Ste a
Arcadia, CA 91007-6969
Phone
(626) 821-9970
NPI assigned
Aug 24, 2009
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58563 CA Primary
Dentist 122300000X 58563 CA

Addresses

Primary practice location

21 W Duarte Rd Ste a
Arcadia, CA 91007-6969

Mailing address

21 W Duarte Rd Ste a
Arcadia, CA 91007-6969
Phone (626) 821-9970

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130208000174 CA Practitioner - DentistPractitioner - Oral Surgery 3678737236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 W Duarte Rd
Arcadia, CA 91007-6969
Phone (626) 821-9970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ngoc Lan Vo D.D.S. Inc. General Practice CurrentSince Nov 23, 2009 Accepting new patients
Ngoc Lan Vo DDS Inc General Practice Past Accepting new patients

Locations

21 W Duarte Rd
Arcadia, CA 91007
Phone (626) 821-9970

21 W Duarte Rd
Ste A
Arcadia, CA 91007
Phone (626) 821-9970

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1679706766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W DUARTE RD STE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076969",
            "telephone_number": "626-821-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W DUARTE RD STE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076969",
            "telephone_number": "626-821-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "NGOC LAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58563",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.