Phuong Vu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105170 Issued in CA

Practice address

71817 Highway 111 Ste 1
Rancho Mirage, CA 92270-4487

Phone

(760) 340-5155

NPI assigned

Aug 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cabanas and Lee Dental Corporation

  dba Rancho Mirage Dental Group

  • General Practice Dentistry
  • Rancho Mirage, CA
  • NPI 1083893580
  NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1023620986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71817 HIGHWAY 111 STE 1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704487",
            "telephone_number": "760-340-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71817 HIGHWAY 111 STE 1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704487",
            "telephone_number": "760-340-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71817 Highway 111 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922704487",
            "country_code": "US",
            "telephone_number": "760-340-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivawell Pharmacy Company (VivaRx LTC)
• Arna Susan Vodenos
• Kay L. Vogt, PSY.D.
• Michael E. Voskanian, P.A.-C.
• Kia Vosoughi
• Manasa Vulchi, M.D.
• Christopher Vuong, M.D.
• Phiyen Vutran
• Krutarth Vyas, PHD.
• Peter John Wagner, M.D.

• General Practice Dentistry in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.

Verify at the official NPI Registry.