Individual provider Active NPI

Roger Scott Bisbey, D.D.S.

  • General Practice Dentistry
  • Rochester, MN
National Provider Identifier
1093848889
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10580 Issued in MN
Practice address
1011 Bel Air LN NW
Rochester, MN 55901-6992
Phone
(507) 288-1188
Fax
(507) 529-4065
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10580 MN Primary

Addresses

Primary practice location

1011 Bel Air LN NW
Rochester, MN 55901-6992

Mailing address

1011 Bel Air LN NW
Rochester, MN 55901-6992
Phone (507) 288-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615002380 MN Order and Referring Only - General PracticePractitioner - General Practice 1052464781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentist Tree, PA General Practice Past Accepting new patients

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1093848889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BEL AIR LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016992",
            "telephone_number": "507-288-1188",
            "fax_number": "507-529-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BEL AIR LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016992",
            "telephone_number": "507-288-1188",
            "fax_number": "507-529-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEY",
        "first_name": "ROGER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.