Peter Vu, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DE00009828 Issued in WA

Practice address

14411 NE Fourth Plain Blvd Ste 134
Vancouver, WA 98682-5001

Phone

(360) 768-0936

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Washington Dental Corporation, PC

  • Dentist
  • Vancouver, WA
  • NPI 1891258711
  NPD (past)
• Mva Dental LLC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1962337998
  NPD (past)
• Pacific Dental Care P.C.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1245449164
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1639281983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 NE 79TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "503-208-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 NE FOURTH PLAIN BLVD STE 134",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825001",
            "telephone_number": "360-768-0936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 NE 82nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972205701",
            "country_code": "US",
            "telephone_number": "503-408-8927",
            "fax_number": "503-408-8926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7547",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "WA",
            "license": "DE00009828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Daniale Voyles
• Luke John Voytas, MD
• Keely Vrsalovich, RN
• Anthony Leon Vu
• L. Jasmin Vu, CNM
• Jennifer Vulgan
• Miator Vululleh
• Tam Tri Vuong, M.D.
• Vvi Transportation LLC
• Josephine A Wachana, PA

• Public Health Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Public Health Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.

Verify at the official NPI Registry.