NPIMap

Organization Active NPI

Re Bidinger DDS JM Stiles DMD PC

  • General Practice Dentistry
  • Webster, MA
National Provider Identifier
1053426403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16816 Issued in MA
Legal business name
RE BIDINGER DDS JM STILES DMD PC
Practice address
14 Cody Street
Webster, MA 01570
Phone
(508) 949-0002
Fax
(508) 943-9310
NPI assigned
Aug 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald E Bidinger, DDSNPI 1184758559
Title
Owner
Phone
(508) 949-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17143 MA
General Practice Dentistry 1223G0001X 16816 MA Primary

Addresses

Primary practice location

14 Cody Street
Webster, MA 01570

Mailing address

14 Cody Street
Webster, MA 01570
Phone (508) 949-0002

Other identifiers 2

IdentifierTypeStateIssuer
000384OtherMADELTA
Y51594OtherMABCBS

National Provider Directory

National Provider Directory

Locations

14 Cody St
Webster, MA 01570
Phone (508) 949-0002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053426403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CODY STREET",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "01570",
            "telephone_number": "508-949-0002",
            "fax_number": "508-943-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CODY STREET",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "01570",
            "telephone_number": "508-949-0002",
            "fax_number": "508-943-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE BIDINGER DDS JM STILES DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIDINGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-949-0002",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17143",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "000384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y51594",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.