Individual provider Active NPI

Eric Ngo, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1922518240
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102014 Issued in CA
Practice address
3124 Senter Rd
San Jose, CA 95111-1257
Phone
(408) 583-4888
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 102014 CA Primary

Addresses

Primary practice location

3124 Senter Rd
San Jose, CA 95111-1257

Mailing address

4028 Chamberer Dr
San Jose, CA 95135-1179

Other practice location 1

5710 Cahalan Ave Ste 3
San Jose, CA 95123-3010
Phone (408) 225-6815

Other practice location 2

38056 Martha Ave
Fremont, CA 94536-3809
Phone (408) 332-4060

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

State licenses

LicenseStateTypeSpecialty
102014CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1922518240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 CHAMBERER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 SENTER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111257",
            "telephone_number": "408-583-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Cahalan Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951233010",
            "country_code": "US",
            "telephone_number": "408-225-6815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38056 Martha Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945363809",
            "country_code": "US",
            "telephone_number": "408-332-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.