Mannhu Bui Iglesias, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34308 Issued in TX

Practice address

9820 Braun Rd Ste 101
San Antonio, TX 78254-9657

Phone

(214) 466-1400

Fax

(214) 367-5896

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mannhu Truong Bui Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 and National Provider Directory roles.

• SD-Braun, PC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1083165302
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1841786589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E UPAS AVE APT A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012391",
            "telephone_number": "832-348-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 BRAUN RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549657",
            "telephone_number": "214-466-1400",
            "fax_number": "214-367-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "MANNHU",
        "middle_name": "BUI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANNHU",
            "last_name": "BUI",
            "middle_name": "TRUONG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Igatundu-Texas Health, LLC
• Igenomedx Inc.
• Iyobosasere Ighoroje, AGACNP
• Nicole Iginiamre, NP
• Eric Francisco Iglesias Muniz, NP
• Patricia Liz Iglesias
• Cherrish Ignacio
• Emmylou Tiamsim Ignacio
• Ignite Medical Resort San Antonio LLC
• Adeniyi Olawale Igun, M.D.

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.