Individual provider Active NPI

Anna Nguyen Vu

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1780178954
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10059 Issued in AZ
Practice address
2483 S Market St Ste 101
Gilbert, AZ 85295-0722
Phone
(480) 857-1044
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10059 AZ Primary

Addresses

Primary practice location

2483 S Market St Ste 101
Gilbert, AZ 85295-0722

Mailing address

18212 N 92ND St
Scottsdale, AZ 85255-6202
Phone (504) 813-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20181129002407 AZ Order and Referring Only - DentistPractitioner - Dentist 5698019768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10059AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Tan Dental Group, LLP 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.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1780178954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18212 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556202",
            "telephone_number": "504-813-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 S MARKET ST STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950722",
            "telephone_number": "480-857-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "ANNA",
        "middle_name": "NGUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "10059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.