Individual provider Active NPI

Nam G Bui, DDS

  • Dentist
  • Orange, CA
National Provider Identifier
1336792068
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104113 Issued in CA
Practice address
2901 E Katella Ave Ste B
Orange, CA 92867-5248
Phone
(714) 602-5557
Fax
(714) 602-3991
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104113 CA Primary

Addresses

Primary practice location

2901 E Katella Ave Ste B
Orange, CA 92867-5248

Mailing address

2901 E Katella Ave Ste B
Orange, CA 92867-5248
Phone (714) 602-5557

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
104113CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nam Bui DDS PC Current Accepting new patients
Nam Bui DDS PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2901 E Katella Ave
Ste B
Orange, CA 92867
Phone (714) 602-5557

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1336792068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E KATELLA AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675248",
            "telephone_number": "714-602-5557",
            "fax_number": "714-602-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E KATELLA AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675248",
            "telephone_number": "714-602-5557",
            "fax_number": "714-602-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "NAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.