Organization Active NPI

Kok-Tow NG, DDS., PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
National Provider Identifier
1881611796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 12185 Issued in FL
Legal business name
KOK-TOW NG, DDS., PA
Practice address
4131 University Blvd S Ste 5
Jacksonville, FL 32216-4346
Phone
(904) 731-0521
Fax
(904) 731-0518
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kok-Tow NG, DDSNPI 1619382603
Title
President
Phone
(904) 731-0521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN 12185 FL Primary

Addresses

Primary practice location

4131 University Blvd S Ste 5
Jacksonville, FL 32216-4346

Mailing address

4131 University Blvd S Ste 5
Jacksonville, FL 32216-4346
Phone (904) 731-0521

National Provider Directory

National Provider Directory

Locations

4131 University Blvd S
Ste 5
Jacksonville, FL 32216
Phone (904) 731-0521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881611796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-731-0521",
            "fax_number": "904-731-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-731-0521",
            "fax_number": "904-731-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOK-TOW NG, DDS., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "KOK-TOW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-731-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 12185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.