Phyu Phyu Tun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11558 Issued in OR

Practice address

7275 SW Dartmouth St Ste 180
Tigard, OR 97223-8292

Phone

(503) 620-2319

NPI assigned

Oct 27, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tigard Triangle Smiles, PC

  dba Tigard Triangle Smiles

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1851654537
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1922762764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 SW NORTH DAKOTA ST APT 1409",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 SW DARTMOUTH ST STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238292",
            "telephone_number": "503-620-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUN",
        "first_name": "PHYU PHYU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tualatin Valley Fire & Rescue
• Andrea Tuck, MAC
• Wanda Tucker, MA, LPC, LMT
• Gameda Tufa
• Ryan Tullis
• Jeffrey Keith Tunick, D.C.
• Jennifer Dolan Turkyilmaz
• Jasmine Turner
• Jeanelle Turner
• Kimberly A Turner, SLP

• General Practice Dentistry in Tigard, OR
• Providers in Tigard, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.