Organization Active NPI

Anh Vu D.D.S Propfessional Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1073916169
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANH VU D.D.S PROPFESSIONAL CORPORATION
Practice address
1311 N Broadway Ste B
Santa Ana, CA 92706-3929
Phone
(714) 541-2723
Fax
(714) 542-5487
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Anh Thi Tuyet Vu, D.D.S.
Title
President/ Owner
Phone
(714) 541-2723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1311 N Broadway Ste B
Santa Ana, CA 92706-3929

Mailing address

1311 N Broadway Ste B
Santa Ana, CA 92706-3929
Phone (714) 541-2723

National Provider Directory

National Provider Directory

Locations

1311 N Broadway
Ste B
Santa Ana, CA 92706
Phone (323) 983-4000

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1073916169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N BROADWAY STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063929",
            "telephone_number": "714-541-2723",
            "fax_number": "714-542-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N BROADWAY STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063929",
            "telephone_number": "714-541-2723",
            "fax_number": "714-542-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH VU D.D.S PROPFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "THI TUYET",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "714-541-2723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.