Individual provider Active NPI

Quynh Nhi Phuoc Ngo, DMD

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1962801886
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63524 Issued in CA
Practice address
7990 Orangethorpe Ave
Buena Park, CA 90621-3437
Phone
(714) 994-1000
Fax
(714) 994-1001
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 63524 CA Primary

Addresses

Primary practice location

7990 Orangethorpe Ave
Buena Park, CA 90621-3437

Mailing address

7990 Orangethorpe Ave
Buena Park, CA 90621-3437
Phone (714) 994-1000

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
I20181017000764 CA Order and Referring Only - DentistPractitioner - Dentist 2466704655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63524CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Quynh Ngo DMD Inc CurrentSince Jan 29, 2015 Accepting new patients
Rogers and Reagan Dental Corporation General Practice Past Accepting new patients

Locations

7990 Orangethorpe Ave
Buena Park, CA 90621
Phone (714) 522-0400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1962801886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213437",
            "telephone_number": "714-994-1000",
            "fax_number": "714-994-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213437",
            "telephone_number": "714-994-1000",
            "fax_number": "714-994-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "QUYNH",
        "middle_name": "NHI PHUOC",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.