TINA NGO DDS
NPI 1043687007
Dentist - General Practice in Lakeport, CA

Q: What is Tina Ngo's NPI number?

The NPI number for Tina Ngo is 1043687007. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Q: What is Tina Ngo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tina Ngo was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2015PECOS Enrolled

5335 LAKESHORE BLVD, LAKEPORT, CA 95453(707) 263-7725 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tina Ngo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA NGO DDS (NPI 1043687007) is an individual general practice provider in Lakeport, California, licensed in California (65027) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043687007

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameTINA NGOCredential: DDS

Location Address5335 LAKESHORE BLVDLakeport, CA 95453-6123

Mailing Address2388 Giselman StLakeport, CA 95453-3127

Phone(707) 263-7725

Sole ProprietorNo

Enumeration DateAugust 26, 2015

✔ NPI 1043687007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 65027

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5335 LAKESHORE BLVD, Lakeport, CA 95453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Ngo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN GRANVILLE JENKINS DDS

Dentist