Individual provider Active NPI

Kalin Thu Ngo, D.D.S.

  • General Practice Dentistry
  • Laredo, TX
National Provider Identifier
1811207814
Registry record updated Oct 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26051 Issued in TX
Practice address
5300 San Dario Ave
C-2
Laredo, TX 78041-3000
Phone
(956) 723-6568
NPI assigned
Oct 9, 2010
Last updated
Oct 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26051 TX Primary

Addresses

Primary practice location

5300 San Dario Ave
C-2
Laredo, TX 78041-3000

Mailing address

9114 McPherson Rd
Unit # 2201
Laredo, TX 78045-6473
Phone (310) 634-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727000510 MN Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 9931492006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26051TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1286582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286582400000",
    "number": "1811207814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 MCPHERSON RD",
            "address_2": "UNIT # 2201",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456473",
            "telephone_number": "310-634-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SAN DARIO AVE",
            "address_2": "C-2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413000",
            "telephone_number": "956-723-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KALIN",
        "middle_name": "THU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-09",
        "last_updated": "2010-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.