Richard Francis Bis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17628 Issued in OH

Practice address

4597 Ridge Rd
Brooklyn, OH 44144-3350

Phone

(216) 398-4446

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013133131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 FOREST LAKE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451776",
            "telephone_number": "440-899-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4597 RIDGE RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443350",
            "telephone_number": "216-398-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIS",
        "first_name": "RICHARD",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Balogh, CLD
• Fadi S Bashour, MD
• Tawanna Jeanie Beavers
• William Michael Beegan, D.D.S.
• Laura Bindernagel, M.A.
• Madison Blackman
• Kathleen D Blanc, D.D.S.
• Kaitlynn Taylor Bock, O.D.
• Maria Simona Breahna, RN
• Jonathan Brennan, BCBA

• General Practice Dentistry in Brooklyn, OH
• Providers in Brooklyn, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.