Individual provider Active NPI

Christopher N Bissada, DDS MDS

  • Endodontics
  • Norwood, MA
National Provider Identifier
1053497719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19740 Issued in MA
Practice address
761 Washington Street
Norwood, MA 02062-6612
Phone
(781) 762-8855
Fax
(781) 769-5969
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 19740 MA Primary

Addresses

Primary practice location

761 Washington Street
Norwood, MA 02062-6612

Mailing address

151 East Central Street
Franklin, MA 02038-1439
Phone (508) 520-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150916003028 MA Order and Referring Only - DentistPractitioner - Dentist 4082921432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19740MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Care PC Endodontics Past Accepting new patients
Endodontic Care of Ma, P.C. Endodontics Past Accepting new patients

Organizations & group practices 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053497719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 EAST CENTRAL STREET",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381439",
            "telephone_number": "508-520-8777",
            "fax_number": "508-520-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 WASHINGTON STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020626612",
            "telephone_number": "781-762-8855",
            "fax_number": "781-769-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSADA",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "19740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.