Individual provider Active NPI

Dean Bu, D.D.S.

  • General Practice Dentistry
  • Temple City, CA
National Provider Identifier
1407907686
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45829 Issued in CA
Practice address
5546 Rosemead Blvd
Suite 104
Temple City, CA 91780-1845
Phone
(626) 285-9808
Fax
(626) 285-6878
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45829 CA Primary

Addresses

Primary practice location

5546 Rosemead Blvd
Suite 104
Temple City, CA 91780-1845

Mailing address

5546 Rosemead Blvd
Suite 104
Temple City, CA 91780-1845
Phone (626) 285-9808

Other identifiers 1

IdentifierTypeStateIssuer
B45829-01MedicaidCA

Other names 1

  • Dr. Ding Bu Former name

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
45829CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ding Bu DDS Dental Corp Past Accepting new patients

Organizations & group practices 1

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407907686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 ROSEMEAD BLVD",
            "address_2": "SUITE 104",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801845",
            "telephone_number": "626-285-9808",
            "fax_number": "626-285-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 ROSEMEAD BLVD",
            "address_2": "SUITE 104",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801845",
            "telephone_number": "626-285-9808",
            "fax_number": "626-285-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BU",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B45829-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DING",
            "last_name": "BU",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.