Organization Active NPI

Bughao and Chu Dental a General Partnership

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1124178322
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B35597 Issued in CA
Legal business name
BUGHAO AND CHU DENTAL A GENERAL PARTNERSHIP
Practice address
1035 Suncast Lane
Suite 110
El Dorado Hills, CA 95762-9658
Phone
(916) 941-0323
Fax
(916) 941-0325
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Rodney Bughao, DDS
Title
Partner
Phone
(916) 718-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X B35597 CA Primary

Addresses

Primary practice location

1035 Suncast Lane
Suite 110
El Dorado Hills, CA 95762-9658

Mailing address

1035 Suncast Lane
Suite 110
El Dorado Hills, CA 95762-9658
Phone (916) 941-0323

Other identifiers 1

IdentifierTypeStateIssuer
G9401901MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1124178322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SUNCAST LANE",
            "address_2": "SUITE 110",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629658",
            "telephone_number": "916-941-0323",
            "fax_number": "916-941-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SUNCAST LANE",
            "address_2": "SUITE 110",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629658",
            "telephone_number": "916-941-0323",
            "fax_number": "916-941-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUGHAO AND CHU DENTAL A GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "BUGHAO",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "916-718-4901",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B35597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9401901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.