Active NPI
Thanh Vu
- Dentist
- Green Valley, AZ
National Provider Identifier
1942793138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010006
- Practice address
- 18726 S Nogales Hwy Ste 100
Green Valley, AZ 85614 - Phone
- (520) 625-4850
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 12, 2018
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D010006 | AZ | Primary |
Addresses
Primary practice location
18726 S Nogales Hwy Ste 100
Green Valley, AZ 85614
Mailing address
2218 W Rancho Dr
Phoenix, AZ 85015-2330
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
| License | State | Type | Specialty |
|---|---|---|---|
| D010006 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sahuarita Modern Dentistry and Orthodontics, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sahiarita Modern Dentistry and Orthodontics
- General Practice Dentistry
- Green Valley, AZ
- NPI 1124304472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1942793138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 W RANCHO DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850152330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S NOGALES HWY STE 100",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-625-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "THANH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Valley, AZ
- Alex R Verhoogen, MD
- Stephanie Beth Vidoni-Hartung, DDS
- Vista Eye Care, PLC
- Hannah Morse Vogan-Darezzo
- Vontsinger Senior Services, LLC (Home Instead Senior Care)
- Wal-Mart Stores, Inc. (Walmart Vision Center 30-1411)
- Walgreen Co (Walgreens #09186)
- Walgreen Co (Walgreens #05312)
- Walgreen Co (Walgreens #02232)
- Julie Ward
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.