Individual provider Active NPI

Bessie Bibiana Fouces, DMD

  • General Practice Dentistry
  • West New York, NJ
National Provider Identifier
1205985256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01565200 Issued in NJ
Practice address
536 62ND Street
West New York, NJ 07093-1545
Phone
(201) 854-2100
Fax
(201) 854-8835
NPI assigned
Jan 9, 2007
Sex
Female
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
General Practice Dentistry 1223G0001X 22DI01565200 NJ Primary

Addresses

Primary practice location

536 62ND Street
West New York, NJ 07093-1545

Mailing address

536 62ND Street
West New York, NJ 07093-1545
Phone (201) 854-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160321000356 NJ Order and Referring Only - DentistPractitioner - Dentist 7214234103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01565200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valdes Dentistry PastSince Aug 29, 2021 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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205985256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 62ND STREET",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931545",
            "telephone_number": "201-854-2100",
            "fax_number": "201-854-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 62ND STREET",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931545",
            "telephone_number": "201-854-2100",
            "fax_number": "201-854-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCES",
        "first_name": "BESSIE",
        "middle_name": "BIBIANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01565200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.