Phong Nghieu Bui, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009093 Issued in WA

Practice address

1640 Duvall Ave NE Ste 201
Renton, WA 98059-3985

Phone

(425) 235-4950

Fax

(425) 235-4989

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phong N Bui, DDS, PLLC

  • Dental Clinic/Center
  • Renton, WA
  • NPI 1417890799
  NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1407912033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 DUVALL AVE NE STE 201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593985",
            "telephone_number": "425-235-4950",
            "fax_number": "425-235-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 DUVALL AVE NE STE 201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593985",
            "telephone_number": "425-235-4950",
            "fax_number": "425-235-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "PHONG",
        "middle_name": "NGHIEU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5040779",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Buck, COTA
• Chelsey Buckham
• Guy V Buell, M.D.
• Cosmos Texan Buendasi, DNP-FNP
• Hongmai Bui, PHARMD
• Tuyethong Bui
• Yvonne T Bui, PHARMD
• Darlene L Bumgarner, PTA
• Dominic Bungcayao, M.A., CCC-SLP
• Allison L Bunker, PT

• General Practice Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.