Johnathan Andrew Vu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50014 Issued in CA

Practice address

9972 Bolsa Ave
Suite #102
Westminster, CA 92683-6069

Phone

(714) 839-3112

NPI assigned

Jul 18, 2008

Sex

Male

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.

• Mimi Theerathada Dental Corporation

  • General Practice Dentistry
  • Westminster, CA
  • NPI 1417483371
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1962667949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14981 BALLOU CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836712",
            "telephone_number": "714-839-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9972 BOLSA AVE",
            "address_2": "SUITE #102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836069",
            "telephone_number": "714-839-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "JOHNATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao-Khue Thuy Vu, PA-C
• Brian Long Hoang Vu, DDS
• Dien Lam Vu
• Huan Quang Vu, D.C.
• James Vu
• Khang D Vu, PHARM.D.
• Khang Huy Vu
• Khue Ngoc Vu, MD
• Kim Vu, PHYSICIAN ASSISTANT
• Luan Vu

• General Practice Dentistry in Westminster, CA
• Providers in Westminster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.