Individual provider Active NPI

Paula Ngo, DMD

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1740850726
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD5459 Issued in NM
Practice address
2424 Louisiana Blvd NE Ste 501
Albuquerque, NM 87110-4361
Phone
(505) 348-1036
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD5459 NM Primary

Addresses

Primary practice location

2424 Louisiana Blvd NE Ste 501
Albuquerque, NM 87110-4361

Mailing address

12200 Academy Rd NE Apt 323
Albuquerque, NM 87111-7247
Phone (931) 239-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Midwestern University College of Dental Medicine, Downers Grove, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 95590
South Jordan, UT 84095

PO Box
Suite 95590
South Jordan, UT 84095-0590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD5459NMMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1740850726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ACADEMY RD NE APT 323",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117247",
            "telephone_number": "931-239-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 LOUISIANA BLVD NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104361",
            "telephone_number": "505-348-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.