Timothy Le Vu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022470 Issued in MI

Practice address

34505 Grand River Ave
Farmington, MI 48335-3311

Phone

(248) 919-2490

NPI assigned

Nov 30, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Bright Side Dental Farmington

  • General Practice Dentistry
  • Farmington, MI
  • NPI 1265885511
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1437663291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23739 STONEHENGE BLVD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753778",
            "telephone_number": "248-349-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34505 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353311",
            "telephone_number": "248-919-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TIMOTHY",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022470",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Vargovick, O.D.
• Vertex Labs LLC
• Vesalius Medical Center
• Kirk L Vickers
• Ronald Wayne Vincent, DNP, NP-C
• Bryan N Wang, PHARMD
• Janice Watkeys, A.T.,C., C.M.T.
• Elaine Deborah Webber, PPCNP-BC
• Valerie Sue Wedge, CTRS
• Denise Marie Weiss

• General Practice Dentistry in Farmington, MI
• Providers in Farmington, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.