Organization Active NPI

Timothy T. Bui D.D.S Inc.

Doing business as Main Street Family Dental

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1316003700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34593 Issued in CA
Legal business name
TIMOTHY T. BUI D.D.S INC.
Doing business as
Main Street Family Dental
Practice address
10971 Garden Grove Blvd
Suite J
Garden Grove, CA 92843-1200
Phone
(714) 537-0550
Fax
(714) 537-2024
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Thien Bui, D.D.S.NPI 1770774671
Title
President C.E.O.
Phone
(714) 537-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 34593 CA Primary

Addresses

Primary practice location

10971 Garden Grove Blvd
Suite J
Garden Grove, CA 92843-1200

Mailing address

10971 Garden Grove Blvd
Suite J
Garden Grove, CA 92843-1200
Phone (714) 537-0550

Other names 1

  • Main Street Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10971 Garden Grove Blvd
Ste J
Garden Grove, CA 92843
Phone (714) 537-0550

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316003700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10971 GARDEN GROVE BLVD",
            "address_2": "SUITE J",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431200",
            "telephone_number": "714-537-0550",
            "fax_number": "714-537-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10971 GARDEN GROVE BLVD",
            "address_2": "SUITE J",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431200",
            "telephone_number": "714-537-0550",
            "fax_number": "714-537-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY T. BUI D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "PRESIDENT     C.E.O.",
        "authorized_official_telephone_number": "714-537-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.