Active NPI
Vincent Tu, DDS
- Pediatric Dentistry
- Murrieta, CA
National Provider Identifier
1851689871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 63391
- Practice address
- 24635 Madison Ave
Murrieta, CA 92562-9751 - Phone
- (951) 600-1062
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 63391 | CA | Primary |
Addresses
Primary practice location
24635 Madison Ave
Murrieta, CA 92562-9751
Mailing address
24635 Madison Ave
Murrieta, CA 92562-9751
Phone (951) 600-1062
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150811005831 | CA | Order and Referring Only - Dentist | 4183939705 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63391 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1851689871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24635 MADISON AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629751",
"telephone_number": "951-600-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24635 MADISON AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629751",
"telephone_number": "951-600-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TU",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "63391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
- Tru-Awareness Psychological Services Professional Corporation
- Steven-Hung Quoc Truong, D.D.S.
- Marcy Lynn Trutalli, M.P.T., C.S.C.S.
- Cristina Lorraine Tsai, ACSW
- TSB, Professional Corporation
- Tuan Ngoc Nguyen MD Inc
- Tuan Ngoc Nguyen MD Inc
- Alana Christine Tucker, PT
- Daniel Jay Tucker, DPM
- Martha Tufele
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.