Active NPI
Andy Tuan-Anh Vu, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Pembroke Pines, FL
National Provider Identifier
1568872984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN30002
- Practice address
- 1601 N Hiatus Rd
Pembroke Pines, FL 33026-2129 - Phone
- (954) 738-5895
- NPI assigned
- May 7, 2014
- Last updated
- Jun 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS039692 | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN30002 | FL | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7769 | LA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401414349 | VA |
Addresses
Primary practice location
1601 N Hiatus Rd
Pembroke Pines, FL 33026-2129
Mailing address
525 E 68TH Street
Baker 21, Oral & Maxillofacial Surgery
New York, NY 10065
Phone (212) 746-5175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190821000323 | NY | Order and Referring Only - Oral Surgery | 3779811385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30002 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 7769 | LA | MD | Oral and Maxillofacial Surgery (Dentist) |
| DS039692 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0401414349 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Cornell Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- New York, NY
- NPI 1437511268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1568872984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 68TH STREET",
"address_2": "BAKER 21, ORAL & MAXILLOFACIAL SURGERY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-746-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N HIATUS RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330262129",
"telephone_number": "954-738-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "ANDY",
"middle_name": "TUAN-ANH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS039692",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN30002",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "LA",
"license": "7769",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401414349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.