Huong T Vu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011252A Issued in IN

Practice address

4745 Statesmen Dr Ste E
Indianapolis, IN 46250

Phone

(317) 643-7117

Fax

(317) 643-7112

NPI assigned

Dec 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paradise Dental LLC

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1124503966
  NPD (past) Authorized official

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1285870394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 STATESMEN DR STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505649",
            "telephone_number": "317-643-7117",
            "fax_number": "317-643-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 STATESMEN DR STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-643-7117",
            "fax_number": "317-643-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "HUONG",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011252A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011252A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN DENTAL LICENSE",
            "identifier": "12011252A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Meriden Vroegop, DO
• VS Caring Hands Home Care LLC.
• Vu Family Dentistry PC
• Athena Vu
• Hoang Phuong Nguyen Vu
• Toan R. Vu, MD
• Tara D Vuchenich, PA-C MPAS
• Nikola S Vuckovic
• Linh Nhat Vuong, MD /MPHS
• Diane M Vuotto, D.C.

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.