Individual provider Active NPI

Tien D. Vu, D.D.S.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1417131749
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52127 Issued in CA
Practice address
5010 W 6TH St
Santa Ana, CA 92703-2519
Phone
(714) 470-1443
Fax
(714) 470-1443
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 52127 CA Primary

Addresses

Primary practice location

5010 W 6TH St
Santa Ana, CA 92703-2519

Mailing address

5010 W 6TH St
Santa Ana, CA 92703-2519
Phone (714) 470-1443

Other names 1

  • Dr. Tien D Vu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013628 CA Order and Referring Only - DentistPractitioner - Dentist 3274848528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1417131749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 W 6TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032519",
            "telephone_number": "714-470-1443",
            "fax_number": "714-470-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 W 6TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032519",
            "telephone_number": "714-470-1443",
            "fax_number": "714-470-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TIEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIEN",
            "last_name": "VU",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.