Individual provider Active NPI

Catherine Bui, DMD

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1053860049
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009978 Issued in AZ
Practice address
16201 N Scottsdale Rd Ste 100
Scottsdale, AZ 85254-1415
Phone
(480) 935-6989
NPI assigned
Oct 1, 2016
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009978 AZ Primary
Dentist 122300000X 100929 CA

Addresses

Primary practice location

16201 N Scottsdale Rd Ste 100
Scottsdale, AZ 85254-1415

Mailing address

17 River Rock CT
Azusa, CA 91702-6274
Phone (909) 524-2528

Other practice location 1

9474 Firestone Blvd
Downey, CA 90241-5504
Phone (562) 803-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820002191 AZ Order and Referring Only - DentistPractitioner - Dentist 4183906118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100929CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Scottsdale, LLP Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1053860049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVER ROCK CT",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917026274",
            "telephone_number": "909-524-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541415",
            "telephone_number": "480-935-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9474 Firestone Blvd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415504",
            "country_code": "US",
            "telephone_number": "562-803-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009978",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.