Organization Active NPI

Hien Bui, DMD a Professional Dental Corporation

  • Dentist
  • San Diego, CA
National Provider Identifier
1851729248
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52347 Issued in CA
Legal business name
HIEN BUI, DMD A PROFESSIONAL DENTAL CORPORATION
Practice address
6255 Lusk Blvd Ste 250
San Diego, CA 92121-3763
Phone
(858) 658-0691
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Hien Quang Bui, DMDNPI 1982611810
Title
Owner
Phone
(858) 658-0691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52347 CA Primary

Addresses

Primary practice location

6255 Lusk Blvd Ste 250
San Diego, CA 92121-3763

Mailing address

6255 Lusk Blvd Ste 250
San Diego, CA 92121-3763
Phone (858) 658-0691

Other identifiers 1

IdentifierTypeStateIssuer
1982611810MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Hien Bui DMD a Professional Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1851729248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 LUSK BLVD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213763",
            "telephone_number": "858-658-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 LUSK BLVD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213763",
            "telephone_number": "858-658-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEN BUI, DMD A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "HIEN",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-658-0691",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982611810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.