Organization Active NPI

Dai Bui Family Dentistry

  • Dentist
  • Montclair, CA
National Provider Identifier
1174956528
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46031 Issued in CA
Legal business name
DAI BUI FAMILY DENTISTRY
Practice address
8851 Central Ave Ste D
Montclair, CA 91763-1658
Phone
(909) 625-5357
Fax
(909) 625-5857
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Jose Palacios
Title
Manager
Phone
(909) 625-5357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46031 CA Primary

Addresses

Primary practice location

8851 Central Ave Ste D
Montclair, CA 91763-1658

Mailing address

8851 Central Ave Ste D
Montclair, CA 91763-1658
Phone (909) 625-5357

National Provider Directory

National Provider Directory

Locations

8851 Central Ave
Ste D
Montclair, CA 91763
Phone (909) 624-5357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1174956528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTRAL AVE STE D",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631658",
            "telephone_number": "909-625-5357",
            "fax_number": "909-625-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTRAL AVE STE D",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631658",
            "telephone_number": "909-625-5357",
            "fax_number": "909-625-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAI BUI FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-625-5357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.