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

Last updated

Mar 17, 2020By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SD-Braun, PC

  dba Smiley Dental

  • 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"
        }
    ]
}

• Igenomedx Inc.
• Iyobosasere Ighoroje, AGACNP
• Nicole Iginiamre, NP
• Teresita Iglesias Garcia, RPH
• 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.