Kelvin Ngo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7285 Issued in AZ

Practice address

1161 E Main St
Mesa, AZ 85203-8823

Phone

(480) 962-0662

Fax

(480) 962-6710

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Western Dental of Arizona, Inc.

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1013053057
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1871793828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE",
            "address_2": "STE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042809",
            "telephone_number": "480-962-0662",
            "fax_number": "480-962-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038823",
            "telephone_number": "480-962-0662",
            "fax_number": "480-962-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KELVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry E Ngalle
• Dickson Nganga
• Anne N Ngaruiya
• Serah Ngaruiya
• Anne Ngigi
• Raymond Ngo, RPH
• Tuyet Thi Ngo, DMD
• Anna Nguyen
• Bich-Tam Nguyen
• Brian Minh Nguyen, MD

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.