Organization Active NPI

Marvin B Ngwafon DDS MFS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baltimore, MD
National Provider Identifier
1679843437
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14656 Issued in MD
Legal business name
MARVIN B NGWAFON DDS MFS PC
Practice address
2406 Garrison Blvd
Baltimore, MD 21216-2222
Phone
(410) 542-9780
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Dr. Marvin Bonfuan Ngwafon, D.D.S
Title
President
Phone
(202) 550-0633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 14656 MD Primary

Addresses

Primary practice location

2406 Garrison Blvd
Baltimore, MD 21216-2222

Mailing address

2406 Garrison Blvd
Baltimore, MD 21216-2222
Phone (410) 542-9780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1679843437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162222",
            "telephone_number": "410-542-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162222",
            "telephone_number": "410-542-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN B NGWAFON DDS MFS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "NGWAFON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BONFUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-550-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.