Active NPI
Kevin Vu, DMD
- Dentist
- San Jose, CA
National Provider Identifier
1003863556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44798
- Practice address
- 2090 N Capitol Ave
Suite D
San Jose, CA 95132-1017 - Phone
- (408) 262-6301
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 44798 | CA | Primary |
Addresses
Primary practice location
2090 N Capitol Ave
Suite D
San Jose, CA 95132-1017
Mailing address
2090 N Capitol Ave
Suite D
San Jose, CA 95132-1017
Phone (408) 262-6301
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160601001952 | CA | Order and Referring Only - Dentist | 5193015261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toothscaler Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- San Jose, CA
- NPI 1699100313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1003863556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 N CAPITOL AVE",
"address_2": "SUITE D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951321017",
"telephone_number": "408-262-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 N CAPITOL AVE",
"address_2": "SUITE D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951321017",
"telephone_number": "408-262-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "KEVIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44798",
"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 Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.