Organization Active NPI

Mercer Island Pediatric Dentistry

  • Pediatric Dentistry
  • Mercer Island, WA
National Provider Identifier
1356779680
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00010196 Issued in WA
Legal business name
MERCER ISLAND PEDIATRIC DENTISTRY
Practice address
7800 SE 27TH St
Suite 101
Mercer Island, WA 98040-3087
Phone
(206) 535-8189
Fax
(206) 535-8263
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Victoria M. Vu, DDS
Title
Dentist
Phone
(206) 535-8189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE00010196 WA Primary

Addresses

Primary practice location

7800 SE 27TH St
Suite 101
Mercer Island, WA 98040-3087

Mailing address

7800 SE 27TH St
Suite 101
Mercer Island, WA 98040-3087
Phone (206) 535-8189

National Provider Directory

National Provider Directory

Locations

7800 SE 27th St
Ste 101
Mercer Island, WA 98040
Phone (206) 535-8189

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1356779680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SE 27TH ST",
            "address_2": "SUITE 101",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403087",
            "telephone_number": "206-535-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SE 27TH ST",
            "address_2": "SUITE 101",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403087",
            "telephone_number": "206-535-8189",
            "fax_number": "206-535-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER ISLAND PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-535-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00010196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.