Organization Active NPI

James Q Bui DDS a Professional Dental Corporation

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1912085044
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47853 Issued in CA
Legal business name
JAMES Q BUI DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
1076 E 1St St
Suite D
Tustin, CA 92780-3852
Phone
(714) 282-7737
Fax
(714) 282-7764
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. James Quat Bui, DDS
Title
President Dentist
Phone
(714) 282-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47853 CA Primary

Addresses

Primary practice location

1076 E 1St St
Suite D
Tustin, CA 92780-3852

Mailing address

1076 E 1St St
Suite D
Tustin, CA 92780-3852
Phone (714) 282-7737

Other identifiers 1

IdentifierTypeStateIssuer
G9254101OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

1076 E 1st St
Ste D
Tustin, CA 92780
Phone (714) 282-7737

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1912085044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E 1ST ST",
            "address_2": "SUITE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803852",
            "telephone_number": "714-282-7737",
            "fax_number": "714-282-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E 1ST ST",
            "address_2": "SUITE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803852",
            "telephone_number": "714-282-7737",
            "fax_number": "714-282-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES Q BUI DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "QUAT",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "714-282-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9254101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.