Joseph Bui, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54638 Issued in CA

Practice address

1110 W Kettleman LN
Suite 47
Lodi, CA 95240-6031

Phone

(109) 518-6315

NPI assigned

Nov 30, 2006

Last updated

Dec 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: jbui815302@direct.ochin.org

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.

• Joseph Phuoc Bui DMD Inc

  dba Bella Terra Dental

  • General Practice Dentistry
  • Lodi, CA
  • NPI 1255715157
  Authorized official Same address or phone

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1073681086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W KETTLEMAN LN",
            "address_2": "SUITE 47",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406031",
            "telephone_number": "209-224-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W KETTLEMAN LN",
            "address_2": "SUITE 47",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406031",
            "telephone_number": "109-518-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin D Bryant
• Katharine Cagle Bryda, LMFT
• Manjeet K Bryson, NP RN
• Sara Buchman, PHARMD
• Kevin Buckman, MD
• Burke Optometry, Inc. (Burke Optometry)
• Tedra L Burke-Searls, D.C.
• Germaine Noel Burke, O.D.
• Jerome A Burke, O.D.
• Debbie Ann Burns, PHARM D.

• General Practice Dentistry in Lodi, CA
• Providers in Lodi, 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 Dec 14, 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.

Verify at the official NPI Registry.