Individual provider Active NPI

Canh Tu Vuong, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1922298215
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B29684-01 Issued in CA
Practice address
2451 S King Rd
Ste B
San Jose, CA 95122-2540
Phone
(408) 270-2020
Fax
(408) 270-2021
NPI assigned
Aug 1, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 B29684-01 CA Primary

Addresses

Primary practice location

2451 S King Rd
Ste B
San Jose, CA 95122-2540

Mailing address

2451 S King Rd
Ste B
San Jose, CA 95122-2540
Phone (408) 270-2020

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
B29684-01CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1922298215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S KING RD",
            "address_2": "STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222540",
            "telephone_number": "408-270-2020",
            "fax_number": "408-270-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S KING RD",
            "address_2": "STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222540",
            "telephone_number": "408-270-2020",
            "fax_number": "408-270-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "CANH",
        "middle_name": "TU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B29684-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.