Individual provider Active NPI

Myhanh Vu, DMD

  • General Practice Dentistry
  • Newark, DE
National Provider Identifier
1891870853
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001410 Issued in DE
Practice address
2603 Eastburn Ctr
Newark, DE 19711-7285
Phone
(302) 357-5166
Fax
(860) 289-9054
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001410 DE Primary

Addresses

Primary practice location

2603 Eastburn Ctr
Newark, DE 19711-7285

Mailing address

122 Honora Dr
Bear, DE 19701-2042
Phone (302) 357-5166

Other names 1

  • Dr. Myhanh Vu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160614002319 CT Order and Referring Only - DentistPractitioner - Dentist 1658662135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9374CTMDClinical Social Worker
G1-0001410DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Destination, LLC CurrentSince Jul 23, 2023 Accepting new patients
Burnside Dental Care, PC Past Accepting new patients

Locations

2603 Eastburn Ctr
Newark, DE 19711
Phone (302) 357-5166

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1891870853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HONORA DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012042",
            "telephone_number": "302-357-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 EASTBURN CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117285",
            "telephone_number": "302-357-5166",
            "fax_number": "860-289-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "MYHANH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYHANH",
            "last_name": "VU",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.