Individual provider Active NPI

Hillary Bui

  • General Practice Dentistry
  • Kennedale, TX
National Provider Identifier
1114745072
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40610 Issued in TX
Practice address
201 W Kennedale Pkwy Ste 512
Kennedale, TX 76060-2434
Phone
(817) 330-3800
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40610 TX Primary

Addresses

Primary practice location

201 W Kennedale Pkwy Ste 512
Kennedale, TX 76060-2434

Mailing address

201 W Kennedale Pkwy Ste 512
Kennedale, TX 76060-2434

Other practice location 1

2325 N Fitzhugh Ave Ste 200
Dallas, TX 75204-3058
Phone (214) 265-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40610TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Village Dentistry and Orthodontics PLLC General Practice PastSince Oct 10, 2021 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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1114745072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W KENNEDALE PKWY STE 512",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W KENNEDALE PKWY STE 512",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760602434",
            "telephone_number": "817-330-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 N Fitzhugh Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752043058",
            "country_code": "US",
            "telephone_number": "214-265-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "HILLARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennedale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.