Individual provider Active NPI

Trang Thuy Vu, DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1487757704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42202 Issued in CA
Practice address
1040A McLaughlin Ave
San Jose, CA 95122
Phone
(408) 287-8585
Fax
(408) 287-8588
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42202 CA Primary

Addresses

Primary practice location

1040A McLaughlin Ave
San Jose, CA 95122

Mailing address

1040A McLaughlin Ave
San Jose, CA 95122
Phone (408) 287-8585

Other names 1

  • Ms. Trang Thuy Nguyen Former 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
I20160408001360 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749588648

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487757704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040A MCLAUGHLIN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-287-8585",
            "fax_number": "408-287-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040A MCLAUGHLIN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-287-8585",
            "fax_number": "408-287-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TRANG",
        "middle_name": "THUY",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRANG",
            "last_name": "NGUYEN",
            "middle_name": "THUY",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.