Individual provider Active NPI

Charmaine Thuy-Vy Bui

  • Dentist
  • Everett, WA
National Provider Identifier
1518577840
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61085298 Issued in WA
Practice address
2032 Colby Ave
Everett, WA 98201-2234
Phone
(425) 258-1764
NPI assigned
Aug 2, 2020
Last updated
Aug 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61085298 WA Primary

Addresses

Primary practice location

2032 Colby Ave
Everett, WA 98201-2234

Mailing address

4815 189TH St SW
Lynnwood, WA 98036-5410
Phone (425) 999-7337

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
DE61085298WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Trieu, DDS, PLLC CurrentSince Aug 9, 2020 Accepting new patients

Locations

2032 Colby Ave
Everett, WA 98201
Phone (425) 258-1764

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1518577840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 189TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365410",
            "telephone_number": "425-999-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012234",
            "telephone_number": "425-258-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "CHARMAINE",
        "middle_name": "THUY-VY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61085298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.