Organization Active NPI

T. Bui Dental Corporation

Doing business as Ladera Smile Dentistry

  • Dentist
  • Ladera Ranch, CA
National Provider Identifier
1801387444
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49729 Issued in CA
Legal business name
T. BUI DENTAL CORPORATION
Doing business as
Ladera Smile Dentistry
Practice address
1701 Corporate Dr Ste C3
Ladera Ranch, CA 92694-2126
Phone
(949) 324-4456
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Thinh Van Bui, DDS
Title
Presidetn
Phone
(714) 260-3179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49729 CA Primary

Addresses

Primary practice location

1701 Corporate Dr Ste C3
Ladera Ranch, CA 92694-2126

Mailing address

31161 Via Consuelo
Coto de Caza, CA 92679-4017
Phone (714) 260-3179

Other names 1

  • Ladera Smile Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1701 Corporate Dr
Ste C3
Ladera Ranch, CA 92694
Phone (949) 324-4456

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1801387444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31161 VIA CONSUELO",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926794017",
            "telephone_number": "714-260-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORPORATE DR STE C3",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942126",
            "telephone_number": "949-324-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. BUI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "THINH",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDETN",
        "authorized_official_telephone_number": "714-260-3179",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladera Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.