Organization Active NPI

Vitality Dental Health

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1033928031
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VITALITY DENTAL HEALTH
Practice address
630 N Cotner Blvd
Lincoln, NE 68505-2339
Phone
(402) 466-1333
Fax
(402) 466-4086
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Vy T Vu, DDSNPI 1275150401
Title
Owner Doctor
Phone
(402) 817-8216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

630 N Cotner Blvd
Lincoln, NE 68505-2339

Mailing address

630 N Cotner Blvd
Lincoln, NE 68505-2339
Phone (402) 466-1333

National Provider Directory

National Provider Directory

Locations

630 N Cotner Blvd
Lincoln, NE 68505
Phone (402) 466-1012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1033928031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-466-1333",
            "fax_number": "402-466-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052339",
            "telephone_number": "402-466-1333",
            "fax_number": "402-466-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "VY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "402-817-8216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.