Individual provider Active NPI

Michael Bui, DMD

  • Dentist
  • Long Beach, CA
National Provider Identifier
1851305338
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104509 Issued in CA
Practice address
3320 N Los Coyotes Diagonal Ste 250
Long Beach, CA 90808-3939
Phone
(562) 496-3230
Fax
(562) 496-3929
NPI assigned
Jul 28, 2006
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104509 CA Primary
General Practice Dentistry 1223G0001X 104509 CA

Addresses

Primary practice location

3320 N Los Coyotes Diagonal Ste 250
Long Beach, CA 90808-3939

Mailing address

3320 N Los Coyotes Diagonal Ste 250
Long Beach, CA 90808-3939
Phone (562) 496-3230

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
104509CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Bui DMD, Inc Dentist CurrentSince Dec 22, 2020 Accepting new patients
Dr. Vanessa D. Newton, P.C. PastSince Sep 1, 2019 Accepting new patients
Gregory E. Le, DMD, Inc. Dentist PastSince Dec 22, 2020 Accepting new patients

Locations

3320 N Los Coyotes Diagonal
Ste 250
Long Beach, CA 90808
Phone (562) 496-3230

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1851305338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N LOS COYOTES DIAGONAL STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083939",
            "telephone_number": "562-496-3230",
            "fax_number": "562-496-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N LOS COYOTES DIAGONAL STE 250",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083939",
            "telephone_number": "562-496-3230",
            "fax_number": "562-496-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104509",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.