Randy L Bisping DDS Ms PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901014916 Issued in MI

Legal business name

RANDY L BISPING DDS MS PC

Practice address

3579 Henry St
Suite 140
Norton Shores, MI 49441-6720

Phone

(231) 739-1215

Fax

(231) 737-2347

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Randy Lee Bisping, D.D.S.M.S.P.C.

Title

Oral Surgeon

Phone

(231) 739-1215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1174892772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 HENRY ST",
            "address_2": "SUITE 140",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416720",
            "telephone_number": "231-739-1215",
            "fax_number": "231-737-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 HENRY ST",
            "address_2": "SUITE 140",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416720",
            "telephone_number": "231-739-1215",
            "fax_number": "231-737-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L BISPING DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BISPING",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "231-739-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.M.S.P.C."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901014916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122658890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Prus, PT, DPT
• Public Protection LLC
• Ashley Jean Quinn
• Devinderpal Rai, DDS
• Randy J Kovicak, DDS, PLLC
• Kelsey Sue Rankin
• Paul Varastad Raphaelian, MD
• Rebel PT & Wellness, PLLC
• Emily Reed, BCBA
• Mark Reider

• Oral and Maxillofacial Surgery (Dentist) in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.