Individual provider Active NPI

Lan-Anh Bui, D.D.S.

  • Dentist
  • Beavercreek, OH
National Provider Identifier
1891175386
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.024428 Issued in OH
Practice address
4380 Buckeye LN Ste 218
Beavercreek, OH 45440-7310
Phone
(937) 912-0101
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024428 OH Primary

Addresses

Primary practice location

4380 Buckeye LN Ste 218
Beavercreek, OH 45440-7310

Mailing address

4380 Buckeye LN Ste 218
Beavercreek, OH 45440-7310
Phone (937) 912-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160301001665 OH Order and Referring Only - DentistPractitioner - Dentist 4587969407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1891175386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 BUCKEYE LN STE 218",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454407310",
            "telephone_number": "937-912-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 BUCKEYE LN STE 218",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454407310",
            "telephone_number": "937-912-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "LAN-ANH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.