Marvin Bonfuan Ngwafon, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

14656 Issued in MD

Practice address

437 Cedar St NW
Washington, DC 20012-1931

Phone

(202) 725-7735

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Premiere Ortho-Pedo PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, DC
  • NPI 1003234360
  NPD Authorized official

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1922263391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MONTAGUE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112874",
            "telephone_number": "202-550-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 CEDAR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121931",
            "telephone_number": "202-725-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWAFON",
        "first_name": "MARVIN",
        "middle_name": "BONFUAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rilean Ngwa
• Sabastine Shu Ngwa
• Shu Cyprian Ngwa
• Stanley Ngwa
• Vera Ruth Ngwa, HHA
• Jacqueline Ngwafonjari
• Nora Sangu Ngwahen Ep Tayong, PCA/HHA
• Ruphine Ngwainmbi
• Yanick Ngwambe
• Celestine Ngwana

• Orthodontics and Dentofacial Orthopedics Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.