Wai Pong NG, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DD2285 Issued in NM

Practice address

5900 Cubero Dr NE
Albuquerque, NM 87109-3879

Phone

(505) 797-3530

Fax

(505) 797-2155

NPI assigned

Oct 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 22, 2019 through Apr 22, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wng9998@ahs.direct-ci.com

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.

• Southwest Oral and Maxillofacial Surgeons LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1629615851
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1902895246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CUBERO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093879",
            "telephone_number": "505-797-3530",
            "fax_number": "505-797-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CUBERO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093879",
            "telephone_number": "505-797-3530",
            "fax_number": "505-797-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "WAI",
        "middle_name": "PONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77607236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andruw Jarrod Nez, LMT
• Evangeline Nez
• Marc Nez
• Roemillo Nez, MSW
• Noah NG, D.M.D
• Claude Gladys Nganzeu, MD
• Zoe Benet Ngenzi
• Hannah Ngo, MD
• Helen Ngo, PHARM. D.
• Lan Shu Ngo

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.