Individual provider Active NPI

Tri Minh Vu, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1154815058
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00204172 Issued in CO
Practice address
2983 W Evans Ave
Denver, CO 80219-5507
Phone
(469) 818-1368
Fax
(720) 738-8888
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34001 TX
General Practice Dentistry 1223G0001X 00204172 CO Primary

Addresses

Primary practice location

2983 W Evans Ave
Denver, CO 80219-5507

Mailing address

2983 W Evans Ave
Denver, CO 80219-5507
Phone (469) 818-1368

Other practice location 1

2041 Pepper Ln # B
Pueblo, CO 81005-3276
Phone (469) 818-1368

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

State licenses

LicenseStateTypeSpecialty
00204172COMDGeneral Practice Dentistry
34001TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Dental PLLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

2983 W Evans Ave
Denver, CO 80219
Phone (469) 818-1368

Organizations & group practices 1

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1154815058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2983 W EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195507",
            "telephone_number": "469-818-1368",
            "fax_number": "720-738-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2983 W EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195507",
            "telephone_number": "469-818-1368",
            "fax_number": "720-738-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Pepper Ln # B",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810053276",
            "country_code": "US",
            "telephone_number": "469-818-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "TRI",
        "middle_name": "MINH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34001",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.