Individual provider Active NPI

Colynda Thi Vu, DMD

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1235259557
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5805 C1 Issued in AL
Practice address
13521 Old Highway 280 Ste 229
Birmingham, AL 35242-1406
Phone
(267) 258-8586
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5805 C1 AL Primary

Addresses

Primary practice location

13521 Old Highway 280 Ste 229
Birmingham, AL 35242-1406

Mailing address

13521 Old Highway 280 Ste 229
Birmingham, AL 35242-1406
Phone (205) 739-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5805 C1ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1235259557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 OLD HIGHWAY 280 STE 229",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421406",
            "telephone_number": "205-739-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 OLD HIGHWAY 280 STE 229",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421406",
            "telephone_number": "267-258-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "COLYNDA",
        "middle_name": "THI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5805 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.