Viet Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

376933-9921 Issued in UT

Legal business name

VIET DENTISTRY

Practice address

1819 W 3500 S
Suite 1a
Salt Lake City, UT 84119-3457

Phone

(801) 887-7264

Fax

(801) 908-5752

NPI assigned

Nov 23, 2010

Organization subpart

No

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

Authorized official

Name

Kieu Thien Le, D.D.S.NPI 1346250933

Title

Owner

Phone

(801) 887-7264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kieu T Le, DDS

  • General Practice Dentistry
  • West Valley City, UT
  • NPI 1346250933
  NPD (past) Authorized official
• James Spencer Gruber, DMD

  • General Practice Dentistry
  • Wendover, UT
  • NPI 1083279764
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1407158413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "SUITE 1A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-887-7264",
            "fax_number": "801-908-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "SUITE 1A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-887-7264",
            "fax_number": "801-908-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIET DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KIEU",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-887-7264",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "376933-9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647187297008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayleen Vidal
• Chaelynn Vidal
• Amanda Alvarez Vides
• Casey Robert Vieni, MD, PHD
• David Matthew Vierkant
• Brook Vietor, APRN., FNP-C
• Mary Vietti, APRN
• Alicia Vigil
• Brittany Vigil
• Katrina Dawn Vigil

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.