Organization Active NPI

Joanne Ngo & Tina Ngo, DDS, Inc.

  • Dentist
  • Santa Rosa, CA
National Provider Identifier
1770179426
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOANNE NGO & TINA NGO, DDS, INC.
Practice address
1100 Sonoma Ave Ste D
Santa Rosa, CA 95405-8901
Phone
(415) 694-3575
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Joanne Thu Ngo, DDSNPI 1285069609
Title
President
Phone
(415) 694-3575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1100 Sonoma Ave Ste D
Santa Rosa, CA 95405-8901

Mailing address

2319 Ogden Sannazor Dr
Tracy, CA 95377-8902
Phone (415) 694-3575

National Provider Directory

National Provider Directory

Locations

1100 Sonoma Ave
Ste D
Santa Rosa, CA 95405
Phone (415) 694-3575

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": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1770179426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 OGDEN SANNAZOR DR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778902",
            "telephone_number": "415-694-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SONOMA AVE STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058901",
            "telephone_number": "415-694-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE NGO & TINA NGO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-694-3575",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.