Individual provider Active NPI

Tien Q Ngo, DDS

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1841421567
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD14388 Issued in MD
Practice address
28 S Frederick Ave Ste 101
Gaithersburg, MD 20877-2395
Phone
(240) 472-8029
Fax
(301) 330-6235
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X MD14388 MD Primary

Addresses

Primary practice location

28 S Frederick Ave Ste 101
Gaithersburg, MD 20877-2395

Mailing address

28 S Frederick Ave Ste 101
Gaithersburg, MD 20877-2395
Phone (240) 472-8029

Other practice location 1

101 15th St
Apt. #4L
Brooklyn, NY 11215-4724
Phone (240) 472-8029

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
MD14388MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1841421567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S FREDERICK AVE STE 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772395",
            "telephone_number": "240-472-8029",
            "fax_number": "301-330-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S FREDERICK AVE STE 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772395",
            "telephone_number": "240-472-8029",
            "fax_number": "301-330-6235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 15th St",
            "address_2": "Apt. #4L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112154724",
            "country_code": "US",
            "telephone_number": "240-472-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "TIEN",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD14388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.