Andy Phui, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6637 Issued in NV

Practice address

5590 Painted Mirage Rd Ste 150
Las Vegas, NV 89149-4585

Phone

(702) 450-8888

NPI assigned

Jul 20, 2015

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1811371818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8466 WILLOW MIST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476152",
            "telephone_number": "702-338-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 PAINTED MIRAGE RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494585",
            "telephone_number": "702-450-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUI",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajanhai Phoumiphat
• Anonglak Phoumiphat
• Jonny Phoumiphat
• Xsana Phoumiphat
• Mycole Whitney Phu-Muns
• Myra Phui
• Elizabeth Phung-Hart, D.O.
• Danny Phung, MS
• Jacqueline Phung, DO
• Mai My Phung

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.