Active NPI
An-Randy Truong Vu
- Dentist
- Waco, TX
National Provider Identifier
1083309876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41489
- Practice address
- 715 N 64TH St
Waco, TX 76710-4387 - Phone
- (682) 560-5301
- NPI assigned
- Apr 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 41489 | TX | Primary |
Addresses
Primary practice location
715 N 64TH St
Waco, TX 76710-4387
Mailing address
3302 Gaston Ave
Dallas, TX 75246-2013
Other practice location 1
3302 Gaston Ave
Dallas, TX 75246-2013
Phone (214) 828-8215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1083309876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N 64TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767104387",
"telephone_number": "682-560-5301"
}
],
"practiceLocations": [
{
"address_1": "3302 Gaston Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752462013",
"country_code": "US",
"telephone_number": "214-828-8215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VU",
"first_name": "AN-RANDY",
"middle_name": "TRUONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-07",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
- Visn 17 Center of Excellence for Research on Returning War Veterans
- Luong Ngoc Vo
- Katharine Lorraine Vogelaar, DNP, FNP-C
- Hayley Suzanne Voige, DO
- Travis G Volcik, APRN, FNP-C
- VW Counseling PLLC
- Joe F Wachsmann, R.PH.
- Waco Acupuncture Clinic, PLLC
- Waco Ambulatory Surgery Center, LP (Waco Cardiology Cath Lab & Surgery Center)
- Waco Bariatric Surgeons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.