Individual provider Active NPI

Trung Vincent Tan Vo, DDS

  • Dentist
  • Pasadena, TX
National Provider Identifier
1245305069
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18865 Issued in TX
Practice address
5233 Fairmont Pkwy Ste F
Pasadena, TX 77505-3935
Phone
(281) 998-2000
Fax
(281) 998-0409
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18865 TX Primary

Addresses

Primary practice location

5233 Fairmont Pkwy Ste F
Pasadena, TX 77505-3935

Mailing address

5233 Fairmont Pkwy Ste F
Pasadena, TX 77505-3935
Phone (281) 998-2000

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
18865TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Dentures & Dentistry Past Accepting new patients

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1245305069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 FAIRMONT PKWY STE F",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053935",
            "telephone_number": "281-998-2000",
            "fax_number": "281-998-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 FAIRMONT PKWY STE F",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053935",
            "telephone_number": "281-998-2000",
            "fax_number": "281-998-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "TRUNG VINCENT",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.