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Dr. Everett Soonken Ong , DDS

Dentist - General Practice β€’ Clovis, NM

Active NPI 1366503997 Individual Practitioner Male Practitioner
Practice location in NPPES

27th Special Operations Medical Group, 224 W D.l.ingram Ave., Bldg 1408
Clovis, NM 881035495

Call 5759043948 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

27th Special Operations Medical Group
224 W D.l.ingram Ave., Bldg 1408

Clovis, NM 881035495

Telephone 5759043948

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clovis and New Mexico

19 active clinicians are listed under Dentist - General Practice with a practice address in Clovis, NM (714 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clovis

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 40869

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 02, 2024

Registered at 27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L.INGRAM AVE., BLDG 1408, CLOVIS, NM 881035495 (Tel: 5759043948)

πŸ“
Updated Business Mailing Address October 02, 2024

Registered at 82 KINGPIN LOOP, CLOVIS, NM 881015495 (Tel: 5755620220)

βœ…
NPI Profile Active November 20, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 20, 2014

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 963685142 (Tel: 3156304902)

πŸ“
Business Mailing Address (Initial Record) November 20, 2014

Registered at PSC 80 BOX 11985, APO, AP 963670022 (Tel: 3156304902)

πŸ‘€
Provider Name / Credentials (Initial Record) November 20, 2014

Recorded as EVERETT ONG, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2014

Dentist (license number reported to NPPES: CA 40869)

🟒
Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366503997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: October 02, 2024
Sole Proprietor: No

Other Dentist - General Practices in Clovis

All Dentist - General Practices in Clovis

Mailing Address

82 Kingpin Loop

Clovis, NM 881015495

Phone: 5755620220

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.