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VIVIAN DIEP DMD
NPI 1831939651
Dentist in Ganado, AZ

Active since May 29, 2024PECOS Enrolled

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivian Diep Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN DIEP DMD (NPI 1831939651) is an individual dentist in Ganado, Arizona, licensed in Arizona (D012146) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831939651
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameVIVIAN DIEPCredential: DMD
Location Address191 AZ-264Ganado, AZ 86505
Mailing Address14011 Sea Myrtle LnSugar Land, TX 77498-2095 · (713) 540-7289
Phone(928) 755-4500
Sole ProprietorNo
Enumeration DateMay 29, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1831939651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012146
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
191 AZ-264, Ganado, AZ 86505
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Vivian Diep Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Diep Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRAM YEO TUNG DMD
Dentist
191 AZ-264
GANADO, AZ 86505
Apache County (928) 755-4861
MICHAEL ANTHONY KALLSEN FNP-BC
Nurse Practitioner (Family)
191 AZ-264
GANADO, AZ 86505
Apache County (509) 703-0262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Diep's NPI number?

The NPI number for Vivian Diep is 1831939651. It was assigned to this individual provider in the NPPES registry on May 29, 2024. The provider is also known as Dr. Vivian Diep Dmd.

Where is Vivian Diep located?

Vivian Diep practices at 191 Az-264, Ganado, AZ 86505. The listed phone number is (928) 755-4500.

What is Vivian Diep's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Vivian Diep enrolled in Medicare?

Yes. Vivian Diep is registered in the Medicare PECOS enrollment system.

What insurance does Vivian Diep accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Vivian Diep as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivian Diep was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.