Individual provider Active NPI

Ping Ge, D.D.S.

  • General Practice Dentistry
  • Branford, CT
National Provider Identifier
1922241496
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009917 Issued in CT
Practice address
5 S Main St Ste 501
Branford, CT 06405-3845
Phone
(626) 644-3351
Fax
(203) 488-4136
NPI assigned
Apr 14, 2009
Last updated
May 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009917 CT Primary
Pediatric Dentistry 1223P0221X 009917 CT

Addresses

Primary practice location

5 S Main St Ste 501
Branford, CT 06405-3845

Mailing address

5 S Main St Ste 501
Branford, CT 06405-3845
Phone (626) 644-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170222000930 CT Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1153605936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9917CTMDClinical Social Worker
009917CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1922241496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST STE 501",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053845",
            "telephone_number": "626-644-3351",
            "fax_number": "203-488-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST STE 501",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053845",
            "telephone_number": "626-644-3351",
            "fax_number": "203-488-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GE",
        "first_name": "PING",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009917",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "009917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.