Active NPI
Joanna Tuyet Vuong, D.M.D.
- Periodontics
- Westminster, CA
National Provider Identifier
1609861483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 37514
- Practice address
- 10301 Bolsa Ave
Suite 206
Westminster, CA 92683-6784 - Phone
- (714) 531-5895
- NPI assigned
- Sep 16, 2005
- Reactivated
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 37514 | CA | Primary |
Addresses
Primary practice location
10301 Bolsa Ave
Suite 206
Westminster, CA 92683-6784
Mailing address
10301 Bolsa Ave
Suite 206
Westminster, CA 92683-6784
Phone (714) 531-5895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 15, 2015 through May 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1609861483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 BOLSA AVE",
"address_2": "SUITE 206",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836784",
"telephone_number": "714-531-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 BOLSA AVE",
"address_2": "SUITE 206",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836784",
"telephone_number": "714-531-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "JOANNA",
"middle_name": "TUYET",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2019-01-03",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "37514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.