Individual provider Active NPI

Tiffany Irena Tyler-Bisson

  • Dental Hygienist
  • Brunswick, ME
National Provider Identifier
1013782929
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH3667 Issued in ME
Practice address
331 Maine St Ste 24
Brunswick, ME 04011-3359
Phone
(207) 576-2096
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH3667 ME Primary

Addresses

Primary practice location

331 Maine St Ste 24
Brunswick, ME 04011-3359

Mailing address

331 Durham Rd
Brunswick, ME 04011-7255
Phone (207) 576-2096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RDH3667MEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Midcoast Dental Health LLC Dental Hygienist CurrentSince Dec 17, 2023 Accepting new patients

Locations

331 Maine St
Ste 24
Brunswick, ME 04011
Phone (207) 504-4220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1013782929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 DURHAM RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040117255",
            "telephone_number": "207-576-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAINE ST STE 24",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113359",
            "telephone_number": "207-576-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER-BISSON",
        "first_name": "TIFFANY",
        "middle_name": "IRENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.