Individual provider Active NPI

Buu-Chau Thi DO, DMD

  • Dentist
  • Federal Way, WA
National Provider Identifier
1730202680
Registry record updated May 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010309 Issued in WA
Practice address
33600 6TH Ave S Ste 102
Federal Way, WA 98003-6743
Phone
(253) 838-3232
NPI assigned
Apr 7, 2007
Last updated
May 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00010309 WA Primary

Addresses

Primary practice location

33600 6TH Ave S Ste 102
Federal Way, WA 98003-6743

Mailing address

11303 NE 128TH St Apt B303
Kirkland, WA 98034-6360
Phone (425) 749-8102

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

State licenses

LicenseStateTypeSpecialty
DE00010309WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DO, Ghorbanian, Im, Kwon Dentist Past Accepting new patients
Chahal-Jhajj DDS PLLC PastSince Apr 23, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241913600000",
    "number": "1730202680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 NE 128TH ST APT B303",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346360",
            "telephone_number": "425-749-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33600 6TH AVE S STE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036743",
            "telephone_number": "253-838-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "BUU-CHAU",
        "middle_name": "THI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2009-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2009; 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.