Active NPI
Nicholas Cody NG, D.D.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Northridge, CA
National Provider Identifier
1760969760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS102276
- Practice address
- 11266 Garden Grove Ave
Northridge, CA 91326-2525 - Phone
- (818) 357-0145
- NPI assigned
- Jul 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS102276 | CA | Primary |
Addresses
Primary practice location
11266 Garden Grove Ave
Northridge, CA 91326-2525
Mailing address
11266 Garden Grove Ave
Northridge, CA 91326-2525
Phone (818) 357-0145
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201107000135 | CA | Order and Referring Only - Dentist | 7315357050 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102276 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1760969760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11266 GARDEN GROVE AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262525",
"telephone_number": "818-357-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11266 GARDEN GROVE AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262525",
"telephone_number": "818-357-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "NICHOLAS",
"middle_name": "CODY",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS102276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
- New Start CLHF'S Independent Training Centers
- New Sunrise Adult Day Health Care Center Inc.
- New Sunrise Health Care Inc
- Next Level Home Health Inc
- Michael James Ney
- Ambrose Loc Thanh Ngo, AA
- Howard Ngo
- Ngoc H. Tran, O.D., Inc.
- Nguyen and Montilla DDS PC Inc
- Nguyen and Montilla Professional Dental Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.