Organization Active NPI

Van Kim Vo

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1457804296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VAN KIM VO
Practice address
2051 N Fresno St
Fresno, CA 93703-2237
Phone
(559) 227-9210
Fax
(559) 227-5725
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Van Kim VoNPI 1487856423
Title
Dentist
Phone
(559) 227-9210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA Primary

Addresses

Primary practice location

2051 N Fresno St
Fresno, CA 93703-2237

Mailing address

2051 N Fresno St
Fresno, CA 93703-2237
Phone (559) 227-9210

National Provider Directory

National Provider Directory
Tax ID family
Van Kim Vo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2051 N Fresno St
Fresno, CA 93703
Phone (559) 227-9210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457804296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032237",
            "telephone_number": "559-227-9210",
            "fax_number": "559-227-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032237",
            "telephone_number": "559-227-9210",
            "fax_number": "559-227-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN KIM VO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-227-9210",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.