Active NPI
Joseph Bui, DDS
- General Practice Dentistry
- Murrieta, CA
National Provider Identifier
1558986570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 106849
- Practice address
- 25395 Madison Ave Ste 103
Murrieta, CA 92562-9003 - Phone
- (951) 696-5660
- NPI assigned
- Jun 16, 2020
- Last updated
- Sep 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 106849 | CA | Primary |
Addresses
Primary practice location
25395 Madison Ave Ste 103
Murrieta, CA 92562-9003
Mailing address
18925 Caddington Cir
Huntington Beach, CA 92648-1558
Phone (714) 454-5001
Other practice location 1
714 Tiverton Ave
Los Angeles, CA 90095-8361
Phone (310) 825-9789
Other practice location 2
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (310) 478-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211027002030 | CA | Order and Referring Only - Dentist | 8921496795 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watanabe Dental Corporation | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Murrieta Dental Group
- General Practice Dentistry
- Murrieta, CA
- NPI 1821182601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1558986570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18925 CADDINGTON CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481558",
"telephone_number": "714-454-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25395 MADISON AVE STE 103",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629003",
"telephone_number": "951-696-5660"
}
],
"practiceLocations": [
{
"address_1": "714 Tiverton Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958361",
"country_code": "US",
"telephone_number": "310-825-9789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-478-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUI",
"first_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "106849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.