Individual provider Active NPI

Tuyet Thi Ngo, DMD

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1871690412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5546 Issued in AZ
Practice address
1150 N Country Club Dr
Suite # 7
Mesa, AZ 85201-2537
Phone
(480) 833-2005
Fax
(480) 833-9122
NPI assigned
Sep 17, 2006
Sex
Female
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 5546 AZ Primary

Addresses

Primary practice location

1150 N Country Club Dr
Suite # 7
Mesa, AZ 85201-2537

Mailing address

1150 N Country Club Dr
Suite # 7
Mesa, AZ 85201-2537
Phone (480) 833-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160322000521 AZ Order and Referring Only - DentistPractitioner - Dentist 7416254289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5546AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuyet Ngo, DMD, PLLC Past Accepting new patients
S.a.S.D PC Dba Desertview Dental Care Past Accepting new patients

Organizations & group practices 2

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871690412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE # 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-833-2005",
            "fax_number": "480-833-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE # 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-833-2005",
            "fax_number": "480-833-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TUYET",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.