Individual provider Active NPI

Desmond NG, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1932703352
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105802 Issued in CA
Practice address
3 Embarcadero Center
Promanade Level #4
San Francisco, CA 94111-4003
Phone
(415) 693-0888
NPI assigned
Nov 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 105802 CA Primary

Addresses

Primary practice location

3 Embarcadero Center
Promanade Level #4
San Francisco, CA 94111-4003

Mailing address

3 Embarcadero Center
Promanade Level #4
San Francisco, CA 94111-4003
Phone (415) 693-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210223000116 CA Order and Referring Only - DentistPractitioner - Dentist 8628483757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: dng445853@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1932703352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMBARCADERO CENTER",
            "address_2": "PROMANADE LEVEL #4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114003",
            "telephone_number": "415-693-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EMBARCADERO CENTER",
            "address_2": "PROMANADE LEVEL #4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114003",
            "telephone_number": "415-693-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "DESMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.