Dat Minh Vo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA40996 Issued in CA

Practice address

1470 E Highland Ave
Suite D
San Bernardino, CA 92404-4647

Phone

(909) 883-6400

Fax

(909) 883-3269

NPI assigned

Aug 11, 2006

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

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.

• Dat Vo DDS, Inc.

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1205052339
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1073525044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 E HIGHLAND AVE",
            "address_2": "SUITE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044647",
            "telephone_number": "909-883-6400",
            "fax_number": "909-883-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E HIGHLAND AVE",
            "address_2": "SUITE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044647",
            "telephone_number": "909-883-6400",
            "fax_number": "909-883-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "DAT",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA40996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Vivas-Campos
• Genesis Garcia Vivas
• Cynthia Vizcarra
• Sandra Cristal Vizcarra
• Gabriela Vizzuett Villegas
• John Dai Vo, M.D.
• Thao Thanh Vo, PHARM.D
• Tri Phi Vo, PHARMD
• Tatiana Voci, MD
• Jessica D Vogt

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 4, 2014; 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.