Samuel Edward Bisson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1170 Issued in ND

Practice address

1462 I94 Business Loop E
Dickinson, ND 58601-6421

Phone

(701) 483-8806

NPI assigned

Apr 21, 2020

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Balance Wellness Center LLCGroup PAC ID 0042605289, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back in Balance Wellness Center LLC

  • Chiropractor
  • Dickinson, ND
  • NPI 1255087987
  Medicare reassignment Care Compare group NPD
• Morrell Spine & Sport

  • Chiropractor
  • Bozeman, MT
  • NPI 1730943945
  NPD (past)
• Tru Chiropractic

  • Chiropractor
  • Belgrade, MT
  • NPI 1336910835
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1225658164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 I94 BUSINESS LOOP E UNIT 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016419",
            "telephone_number": "701-483-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 I94 BUSINESS LOOP E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016421",
            "telephone_number": "701-483-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSON",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1170",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "6175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Binstock, M.S. SLP
• Jessie Binstock, PT
• Nikki Binstock
• Syeda Sana Bischoff, FNP
• Bismarck Dentistry PC (Plaza Dental)
• Gabrielle K Blaine, RD, LRD, CDE
• Teresa Bleich
• Sara Bogotch
• Stephanie Barbara Bohan, DPT
• Anastasiia Boiko

• Chiropractor in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.