Individual provider Active NPI

Alex H Vo, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Portland, OR
National Provider Identifier
1083960116
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE-60603242 Issued in WA
Practice address
9600 SW Capitol Hwy
Suite 140
Portland, OR 97219
Phone
(503) 922-7280
Fax
(503) 922-7284
NPI assigned
Jul 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D9752 OR
Dentist 122300000X DE60603242 WA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE-60603242 WA Primary

Addresses

Primary practice location

9600 SW Capitol Hwy
Suite 140
Portland, OR 97219

Mailing address

9600 SW Capitol Hwy
Suite 140
Portland, OR 97219
Phone (503) 922-7280

Other practice location 1

365 Warner Milne Rd Ste 110
Oregon City, OR 97045-4073
Phone (971) 206-7115

Other practice location 2

406 SE 131st Ave Ste 207
Vancouver, WA 98683-4013
Phone (360) 695-1356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20190628002917 OR Order and Referring Only - DentistPractitioner - Dentist 7719211481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DE60603242WAMDDentist
D9752ORMDOrthodontics and Dentofacial Orthopedic Dentist
DE-60603242WAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alex H. Vo, DMD, LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Alex H. Vo, DMD, P.L.L.C Orthodontics and Dentofacial Orthopedics PastSince Jun 6, 2021 Accepting new patients

Locations

9600 SW Capitol Hwy
Ste 140
Portland, OR 97219
Phone (503) 246-7999

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1083960116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW CAPITOL HWY",
            "address_2": "SUITE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-922-7280",
            "fax_number": "503-922-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW CAPITOL HWY",
            "address_2": "SUITE 140",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-922-7280",
            "fax_number": "503-922-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Warner Milne Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970454073",
            "country_code": "US",
            "telephone_number": "971-206-7115",
            "fax_number": "541-516-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 SE 131st Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986834013",
            "country_code": "US",
            "telephone_number": "360-695-1356",
            "fax_number": "360-695-1358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "ALEX",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D9752",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60603242",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE-60603242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.