Active NPI
Vickie Tamdoan Bui, DDS, MS
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1699302471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61180680
- Practice address
- 14508 NE 20TH Ave Ste 301
Vancouver, WA 98686-6418 - Phone
- (360) 558-5700
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | 61180680 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DE61180680 | WA | Primary |
| Dentist | 122300000X | DE61180680 | WA |
Addresses
Primary practice location
14508 NE 20TH Ave Ste 301
Vancouver, WA 98686-6418
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
19005 SE 34th St
Vancouver, WA 98683-1450
Phone (360) 726-6730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206145 | Medicaid | WA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61180680 | WA | MD | Dentist |
| 61180680 | WA | MD | Federally Qualified Health Center (FQHC) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Federally Qualified Health Center (FQHC) | Current | Accepting new patients |
Locations
14508 NE 20th Ave
Ste 301
Vancouver, WA 98686
Phone (360) 558-5700
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.
-
- Federally Qualified Health Center (FQHC)
- Vancouver, WA
- NPI 1588190359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1699302471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14508 NE 20TH AVE STE 301",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866418",
"telephone_number": "360-558-5700"
}
],
"practiceLocations": [
{
"address_1": "19005 SE 34th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986831450",
"country_code": "US",
"telephone_number": "360-726-6730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUI",
"first_name": "VICKIE",
"middle_name": "TAMDOAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "WA",
"license": "61180680",
"primary": false
},
{
"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": "WA",
"license": "DE61180680",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61180680",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2206145",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.