Active NPI
Giao Ngoc Ly, D.D.S
- Dentist
- Stockton, CA
National Provider Identifier
1922328376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59791
- Practice address
- 1862 Whitney St
Stockton, CA 95210-4166 - Phone
- (209) 607-6143
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Dentist | 122300000X | 59791 | CA | Primary |
Addresses
Primary practice location
1862 Whitney St
Stockton, CA 95210-4166
Mailing address
1862 Whitney St
Stockton, CA 95210-4166
Phone (209) 607-6143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1922328376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1862 WHITNEY ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952104166",
"telephone_number": "209-607-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1862 WHITNEY ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952104166",
"telephone_number": "209-607-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "GIAO",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.