Anthony Tan Vuong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60220356 Issued in WA

Practice address

3802 Colby Ave
3Rd Floor
Everett, WA 98201-4940

Phone

(425) 252-9333

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1447539895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 63RD PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377206",
            "telephone_number": "425-530-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 COLBY AVE",
            "address_2": "3RD FLOOR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014940",
            "telephone_number": "425-252-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "ANTHONY",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60220356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Michael Vongrimm, BA, AAC-R
• Ross Lee Voorhees, MSW, LMHC
• Caitlin Vosburgh
• Bryce Leo Vradenburg, MSW
• Jennie Yen Vu, PA-C
• Rafael C Wabl, MD
• Jacy Wade
• Kim K Wade
• Ronda Ann Brown Wade, MSN, FNP-BC
• Amit Wadke

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.