Organization Active NPI

Vivi Spa Dental P.a

  • Dental Clinic/Center
  • Riverview, FL
National Provider Identifier
1598197964
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18603 Issued in FL
Legal business name
VIVI SPA DENTAL P.A
Practice address
10722 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone
(813) 671-0675
NPI assigned
Aug 7, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mrs. Thuvan T Vo, D.M.DNPI 1821076944
Title
Dentist
Phone
(813) 617-0675

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
Dental Clinic/Center 261QD0000X 18603 FL Primary

Addresses

Primary practice location

10722 Ketchum Valley Dr
Riverview, FL 33579-7185

Mailing address

10722 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone (813) 671-0675

National Provider Directory

National Provider Directory

Locations

10722 Ketchum Valley Dr
Riverview, FL 33579
Phone (813) 671-0675

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": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1598197964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 KETCHUM VALLEY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797185",
            "telephone_number": "813-671-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 KETCHUM VALLEY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797185",
            "telephone_number": "813-671-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVI SPA DENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THUVAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-617-0675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "18603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.