Individual provider Active NPI

Bianka N/a Bidovska-Miller, DDS

  • General Practice Dentistry
  • Hot Springs, SD
National Provider Identifier
1235846445
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1377 Issued in SD
Practice address
602 Jennings Ave
Hot Springs, SD 57747-1691
Phone
(605) 745-3975
Fax
(605) 745-3395
NPI assigned
Oct 28, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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 D1377 SD Primary

Addresses

Primary practice location

602 Jennings Ave
Hot Springs, SD 57747-1691

Mailing address

PO Box 970
Hot Springs, SD 57747-0970
Phone (605) 745-3975

Other names 1

  • Dr. Bianka N/a Bidovska-Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1377SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Massa Dental Offices, PC General Practice PastSince Oct 30, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1235846445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577470970",
            "telephone_number": "605-745-3975",
            "fax_number": "605-745-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 JENNINGS AVE",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577471691",
            "telephone_number": "605-745-3975",
            "fax_number": "605-745-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDOVSKA-MILLER",
        "first_name": "BIANKA",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANKA",
            "last_name": "BIDOVSKA-MILLER",
            "middle_name": "N/A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.