Individual provider Active NPI

Tram Vu, DDS

  • Dentist
  • Goodyear, AZ
National Provider Identifier
1598030959
Registry record updated Jul 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008707 Issued in AZ
Practice address
105 N Litchfield Rd
Goodyear, AZ 85338-1617
Phone
(623) 932-3200
Fax
(623) 932-3222
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X D008707 AZ Primary

Addresses

Primary practice location

105 N Litchfield Rd
Goodyear, AZ 85338-1617

Mailing address

537 W Spur Avenue
Gilbert, ARIZONA 85233
UM
Phone (480) 283-5436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150513000691 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3072833185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Smiles Dentistry Current Accepting new patients
Katsur Dental of Arizona, Inc. Past Accepting new patients
Southwest Dental Center, Inc Dentist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374278400000",
    "number": "1598030959",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "537 W SPUR AVENUE",
            "city": "GILBERT",
            "state": "ARIZONA",
            "postal_code": "85233",
            "telephone_number": "480-283-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381617",
            "telephone_number": "623-932-3200",
            "fax_number": "623-932-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TRAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2013-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.