Glen Bui, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6675 Issued in AZ

Practice address

7448 W Glendale Ave
Suite 126
Glendale, AZ 85303-2575

Phone

(623) 930-0060

Fax

(623) 930-0667

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Glendale Family Dentistry, PLLC

  • Dentist
  • Glendale, AZ
  • NPI 1265618243
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1700923984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12568 W FLOWER ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926376",
            "telephone_number": "623-930-0060",
            "fax_number": "623-930-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 W GLENDALE AVE",
            "address_2": "SUITE 126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032575",
            "telephone_number": "623-930-0060",
            "fax_number": "623-930-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDA",
            "identifier": "D6675",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Buechl
• Susan Bueker, LCSW
• Felipe Bueno Quirino
• Cademon Thomas Buettner, DPT
• Nadine Buhendwa, RN
• Ivy Bui
• Carmian Buiquy, OD
• Alycia Bukartek
• Bukate Medical Supplier
• Ashlee Caitlin Bumguardner, PHARMD

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.