Individual provider Active NPI

Ivy Vuong, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1831827617
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS108444 Issued in CA
Practice address
10582 W Pico Blvd
Los Angeles, CA 90064-2332
Phone
(310) 837-6453
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 062581 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS108444 CA Primary

Addresses

Primary practice location

10582 W Pico Blvd
Los Angeles, CA 90064-2332

Mailing address

10582 W Pico Blvd
Los Angeles, CA 90064-2332
Phone (310) 837-6453

Other practice location 1

327 Central Park W Ste 1A
New York, NY 10025-7631
Phone (212) 280-1700

Other practice location 2

440 W End Ave Ste 1C
New York, NY 10024-5358
Phone (212) 280-7224

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

LicenseStateTypeSpecialty
DDS108444CAMDOrthodontics and Dentofacial Orthopedic Dentist
062581NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park West Orthodontics PC Orthodontics and Dentofacial Orthopedics CurrentSince Aug 25, 2024 Accepting new patients
West End Ave Pediatric Dentistry PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 2

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1831827617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10582 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642332",
            "telephone_number": "310-837-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10582 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642332",
            "telephone_number": "310-837-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Central Park W Ste 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100257631",
            "country_code": "US",
            "telephone_number": "212-280-1700",
            "fax_number": "212-280-3447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W End Ave Ste 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100245358",
            "country_code": "US",
            "telephone_number": "212-280-7224",
            "fax_number": "212-280-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUONG",
        "first_name": "IVY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "062581",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS108444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.