Organization Active NPI

Cam-Tu Vo DMD, PLLC

  • Dental Clinic/Center
  • Marysville, WA
National Provider Identifier
1972838696
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE0584 Issued in WA
Legal business name
CAM-TU VO DMD, PLLC
Practice address
1601 10TH St
Marysville, WA 98270-4631
Phone
(360) 659-7983
Fax
(360) 659-5704
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Miss Cam Tu Vo, DMD
Title
Dentist
Phone
(360) 659-7983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE0584 WA Primary

Addresses

Primary practice location

1601 10TH St
Marysville, WA 98270-4631

Mailing address

1601 10TH St
Marysville, WA 98270-4631
Phone (360) 659-7983

Other identifiers 1

IdentifierTypeStateIssuer
5051081MedicaidWA

Other names 1

  • City park dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1972838696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 10TH ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704631",
            "telephone_number": "360-659-7983",
            "fax_number": "360-659-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 10TH ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704631",
            "telephone_number": "360-659-7983",
            "fax_number": "360-659-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM-TU VO DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "CAM",
        "authorized_official_middle_name": "TU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-659-7983",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE0584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051081",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City park dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.