Individual provider Active NPI

Nghia Duy Bui, D.D.S.

  • Endodontics
  • Chicago, IL
National Provider Identifier
1225436322
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60868940 Issued in WA
Practice address
70 E Lake St
Chicago, IL 60601
Phone
(808) 382-7453
NPI assigned
Dec 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT 2567 HI
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DE60868940 WA Primary

Addresses

Primary practice location

70 E Lake St
Chicago, IL 60601

Mailing address

70 E Lake St
Chicago, IL 60601-5959
Phone (808) 382-7453

Other practice location 1

1551 Kalakaua Ave Apt F204
Honolulu, HI 96826-6421
Phone (808) 382-7453

Other practice location 2

11065 Pacific Crest Pl NW Ste B105
Silverdale, WA 98383-6607
Phone (808) 382-7453

Other practice location 3

11065 Pacific Crest Pl NW Ste B105
Silverdale, WA 98383-6607
Phone (808) 382-7453

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
DE60868940WAMDEndodontist
DT 2567HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1225436322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015959",
            "telephone_number": "808-382-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "808-382-7453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Kalakaua Ave Apt F204",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968266421",
            "country_code": "US",
            "telephone_number": "808-382-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11065 Pacific Crest Pl NW Ste B105",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983836607",
            "country_code": "US",
            "telephone_number": "808-382-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11065 Pacific Crest Pl NW Ste B105",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983836607",
            "country_code": "US",
            "telephone_number": "808-382-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "NGHIA",
        "middle_name": "DUY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT 2567",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60868940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.