Phuong Cat Bui, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09978 Issued in IA

Practice address

1860 Madison Ave Ste 4
Council Bluffs, IA 51503-5200

Phone

(515) 822-6889

NPI assigned

Mar 23, 2022

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

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.

• Antioch Dentistry PA

  dba Antioch Dentistry

  • General Practice Dentistry
  • Merriam, KS
  • NPI 1720490261
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1699424770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S 37TH AVE APT 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051164",
            "telephone_number": "515-822-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MADISON AVE STE 4",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035200",
            "telephone_number": "515-822-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5754 Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "662022015",
            "country_code": "US",
            "telephone_number": "913-671-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "PHUONG",
        "middle_name": "CAT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62038",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09978",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Dylan Brown, TCADC
• Bridget L Buck, P.A.
• Kelly Buckman, PTA
• Ryan Gerald Buetow, NP
• Brianne Buge, CRNA
• Shalenna F Burgess
• Alexandria Gabrellia Burk, LMSW
• Kenneth D Burkhart, MD
• Ryan M. Burkholder, MD
• Stacey Elizabeth Burmeister

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.