Individual provider Active NPI

Aileen Ngan

  • Dentist
  • Newhall, CA
National Provider Identifier
1740647890
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65021 Issued in CA
Practice address
23033 Lyons Ave
Suite 5
Newhall, CA 91321-2727
Phone
(661) 255-0400
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65021 CA Primary
General Practice Dentistry 1223G0001X 65021 CA

Addresses

Primary practice location

23033 Lyons Ave
Suite 5
Newhall, CA 91321-2727

Mailing address

23033 Lyons Ave
Suite 5
Newhall, CA 91321-2727

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
65021CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyons Teeth and Braces a Professional Partnership Dentist CurrentSince Dec 27, 2020 Accepting new patients

Locations

23033 Lyons Ave
Ste 5
Newhall, CA 91321
Phone (661) 255-0400

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1740647890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23033 LYONS AVE",
            "address_2": "SUITE 5",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23033 LYONS AVE",
            "address_2": "SUITE 5",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212727",
            "telephone_number": "661-255-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAN",
        "first_name": "AILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65021",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.