Active NPI
Kurt K. Bui
- Dentist
- Oceanside, CA
National Provider Identifier
1881740165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53972
- Practice address
- 3125 Vista Way
Oceanside, CA 92056-3630 - Phone
- (760) 439-1000
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53972 | CA | Primary |
Addresses
Primary practice location
3125 Vista Way
Oceanside, CA 92056-3630
Mailing address
139 Hyde Park
Irvine, CA 92606-1914
Phone (949) 231-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150911000106 | CA | Order and Referring Only - Dentist | 2567779390 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53972 | CA | MD | Physical Therapy Assistant |
Interoperability endpoints
- kbui@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1881740165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 HYDE PARK",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061914",
"telephone_number": "949-231-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563630",
"telephone_number": "760-439-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "KURT",
"middle_name": "K.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.