Active NPI
Thien H Vu, D.D.S.
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1164511424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47012
- Practice address
- 1660 Hillsdale Ave
Suite 170
San Jose, CA 95124-3242 - Phone
- (408) 267-1660
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47012 | CA | Primary |
Addresses
Primary practice location
1660 Hillsdale Ave
Suite 170
San Jose, CA 95124-3242
Mailing address
1660 Hillsdale Ave
Suite 170
San Jose, CA 95124-3242
Phone (408) 267-1660
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190604001554 | CA | Practitioner - Dentist | 7315247673 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1164511424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 HILLSDALE AVE",
"address_2": "SUITE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243242",
"telephone_number": "408-267-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 HILLSDALE AVE",
"address_2": "SUITE 170",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243242",
"telephone_number": "408-267-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "THIEN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.