Active NPI
Henry Hai Vu, DDS
- Prosthodontics
- Antioch, CA
National Provider Identifier
1619099223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 53887
- Practice address
- 3107 Lone Tree Way
Suite a
Antioch, CA 94509-4980 - Phone
- (925) 757-5081
- Fax
- (925) 757-4979
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 53887 | CA | Primary |
Addresses
Primary practice location
3107 Lone Tree Way
Suite a
Antioch, CA 94509-4980
Mailing address
7165 Fawn Hills LN
Pleasanton, CA 94566-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53887 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. L. Keller DDS & Daniel F. Burk DDS | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Antioch, CA
- NPI 1174906887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619099223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7165 FAWN HILLS LN",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945663412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 LONE TREE WAY",
"address_2": "SUITE A",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094980",
"telephone_number": "925-757-5081",
"fax_number": "925-757-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "HENRY",
"middle_name": "HAI",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "53887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.