Active NPI
Sally a. Bishko,DDS
- General Practice Dentistry
- Montpelier, VT
National Provider Identifier
1275689564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 847
- Legal business name
- SALLY A. BISHKO,DDS
- Doing business as
- River Station Family Dentistry
- Practice address
- 535 Stone Cutters Way
Suite 103
Montpelier, VT 05602-3795 - Phone
- (802) 223-2244
- Fax
- (802) 223-1283
- NPI assigned
- Jan 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sally Ann Bishko, D.D.S.
- Title
- Owner
- Phone
- (802) 223-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 847 | VT | Primary |
Addresses
Primary practice location
535 Stone Cutters Way
Suite 103
Montpelier, VT 05602-3795
Mailing address
535 Stone Cutters Way
Suite 103
Montpelier, VT 05602-3795
Phone (802) 223-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | SOCIAL SECURITY NUMBER | |
| 1012461 | Medicaid | VT |
Other names 1
- River Station Family Dentistry
National Provider Directory
National Provider DirectoryLocations
535 Stone Cutters Way
Ste 103
Montpelier, VT 05602
Phone (802) 223-2244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275689564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 STONE CUTTERS WAY",
"address_2": "SUITE 103",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056023795",
"telephone_number": "802-223-2244",
"fax_number": "802-223-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 STONE CUTTERS WAY",
"address_2": "SUITE 103",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056023795",
"telephone_number": "802-223-2244",
"fax_number": "802-223-1283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALLY A. BISHKO,DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BISHKO",
"authorized_official_first_name": "SALLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-223-2244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY NUMBER",
"identifier": "$$$$$$$$$",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012461",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River Station Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.