Organization Active NPI

Man Vo and Tina Vo DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1689057614
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47009 Issued in CA
Legal business name
MAN VO AND TINA VO DDS
Practice address
5013 Arlington Ave Ste a
Riverside, CA 92504-2792
Phone
(951) 688-4772
Fax
(951) 688-0226
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Man Minh Vo, DDSNPI 1710027057
Title
General Partner
Phone
(951) 688-4772

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 47009 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 46227 CA

Addresses

Primary practice location

5013 Arlington Ave Ste a
Riverside, CA 92504-2792

Mailing address

5013 Arlington Ave Ste a
Riverside, CA 92504-2792
Phone (951) 688-4772

Other names 1

  • Gentle Dental Professional Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dental Professional2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5013 Arlington Ave
Ste A
Riverside, CA 92504
Phone (951) 688-4772

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": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1689057614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042792",
            "telephone_number": "951-688-4772",
            "fax_number": "951-688-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042792",
            "telephone_number": "951-688-4772",
            "fax_number": "951-688-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN VO AND TINA VO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "MAN",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "951-688-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47009",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Professional",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.