Individual provider Active NPI

Ricky Ngo, DC

  • Chiropractor
  • Waianae, HI
National Provider Identifier
1821308339
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1344 Issued in HI
Practice address
87-2070 Farrington Hwy # B4
Waianae, HI 96792-3757
Phone
(808) 425-2473
Fax
(808) 452-0224
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010012550 MO
Chiropractor 111N00000X 1344 HI Primary

Addresses

Primary practice location

87-2070 Farrington Hwy # B4
Waianae, HI 96792-3757

Mailing address

PO Box 2191
Waianae, HI 96792-8191
Phone (808) 425-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170925003479 HI Practitioner - Chiropractic 0840471389
I20250102003594 TX Practitioner - Chiropractic 0840471389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1344HIMDChiropractor
2010012550MOMDChiropractor
16154TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Imedtx LLC Chiropractor CurrentSince Nov 1, 2024 Accepting new patients
Align Studio LLC Chiropractor CurrentSince Apr 28, 2024 Accepting new patients
Kingdom Chiropractic Chiropractor CurrentSince Oct 12, 2020 Accepting new patients
Fountain City Family Chiropractic Chiropractor Past Accepting new patients
Heartland Family Chiropractic Chiropractor PastSince Feb 7, 2011 Accepting new patients

Locations

87-2070 Farrington Hwy
#B4
Waianae, HI 96792
Phone (808) 206-6769

204 S Interstate 35
Ste 101
Georgetown, TX 78628
Phone (808) 284-9899

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1821308339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2191",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967928191",
            "telephone_number": "808-425-2473",
            "fax_number": "808-452-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-2070 FARRINGTON HWY # B4",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923757",
            "telephone_number": "808-425-2473",
            "fax_number": "808-452-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "RICKY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010012550",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.