Individual provider Active NPI

Raymond Thanh Ngo

  • General Practice Dentistry
  • Carlsbad, CA
National Provider Identifier
1801462403
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108261 Issued in CA
Practice address
2020 Cassia Rd Ste 102
Carlsbad, CA 92009-4211
Phone
(760) 918-0798
Fax
(442) 244-0580
NPI assigned
Jun 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 108261 CA Primary
General Practice Dentistry 1223G0001X 37225 TX

Addresses

Primary practice location

2020 Cassia Rd Ste 102
Carlsbad, CA 92009-4211

Mailing address

2020 Cassia Rd Ste 102
Carlsbad, CA 92009-4211
Phone (760) 918-0798

Other practice location 1

715 J St Ste 107
San Diego, CA 92101-7135
Phone (619) 702-4204

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
108261CAMDGeneral Practice Dentistry
37225TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Martina Parrone DDS Past Accepting new patients
South West Freeway Family Dentistry, PLLC General Practice PastSince Jun 1, 2021 Accepting new patients
Synthesis Renovo Dentistry, PLLC General Practice PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 3

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1801462403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CASSIA RD STE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094211",
            "telephone_number": "760-918-0798",
            "fax_number": "442-244-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CASSIA RD STE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094211",
            "telephone_number": "760-918-0798",
            "fax_number": "442-244-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 J St Ste 107",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921017135",
            "country_code": "US",
            "telephone_number": "619-702-4204",
            "fax_number": "442-244-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "RAYMOND",
        "middle_name": "THANH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108261",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.