Individual provider Active NPI

Howard T Ngo, DDS

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1700067188
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411836 Issued in VA
Practice address
11351 Random Hills Rd
Suite 290
Fairfax, VA 22030-6081
Phone
(703) 865-6677
Fax
(703) 865-6680
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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 4388 SC
General Practice Dentistry 1223G0001X 0401411836 VA Primary

Addresses

Primary practice location

11351 Random Hills Rd
Suite 290
Fairfax, VA 22030-6081

Mailing address

11351 Random Hills Rd
Suite 290
Fairfax, VA 22030-6081
Phone (703) 865-6677

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

LicenseStateTypeSpecialty
0401411836VAMDGeneral Practice Dentistry
4388SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles 4 Fairfax, PLC General Practice Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1700067188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD",
            "address_2": "SUITE 290",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-865-6677",
            "fax_number": "703-865-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD",
            "address_2": "SUITE 290",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-865-6677",
            "fax_number": "703-865-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "HOWARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4388",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.