Individual provider Active NPI

Nam Ngoc Hoang, DMD

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1831209303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49111 Issued in CA
Practice address
9029 Reseda Blvd Ste 104
Northridge, CA 91324-3932
Phone
(818) 701-9700
Fax
(818) 337-3044
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 49111 CA Primary

Addresses

Primary practice location

9029 Reseda Blvd Ste 104
Northridge, CA 91324-3932

Mailing address

9029 Reseda Blvd Ste 104
Northridge, CA 91324-3932
Phone (818) 701-9700

Other names 1

  • Dr. Oeter Ngoc Hoang Other name

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
49111CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831209303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 RESEDA BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243932",
            "telephone_number": "818-701-9700",
            "fax_number": "818-337-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 RESEDA BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243932",
            "telephone_number": "818-701-9700",
            "fax_number": "818-337-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "NAM",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OETER",
            "last_name": "HOANG",
            "middle_name": "NGOC",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.