Organization Active NPI

Cavitybusters

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1538314372
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S5-62 Issued in NV
Legal business name
CAVITYBUSTERS
Practice address
5980 S Jones Blvd
Las Vegas, NV 89118-2610
Phone
(702) 362-5437
Fax
(702) 631-5437
NPI assigned
Nov 20, 2008
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Quang M.D. Bui, D.M.D.
Title
Owner
Phone
(702) 362-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X S5-62 NV Primary

Addresses

Primary practice location

5980 S Jones Blvd
Las Vegas, NV 89118-2610

Mailing address

5980 S Jones Blvd
Las Vegas, NV 89118-2610
Phone (702) 362-5437

Other identifiers 2

IdentifierTypeStateIssuer
880491583MedicaidNV
1043396906MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Cavitybusters2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6910 S Rainbow Blvd
Ste 104
Las Vegas, NV 89118
Phone (702) 362-5437

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1538314372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182610",
            "telephone_number": "702-362-5437",
            "fax_number": "702-631-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182610",
            "telephone_number": "702-362-5437",
            "fax_number": "702-631-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVITYBUSTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "M.D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-362-5437",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S5-62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880491583",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043396906",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.