Active NPI
Jean Bichara, DDS, MS
- Periodontics
- Fairless Hills, PA
National Provider Identifier
1295797983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS028154-L
- Practice address
- 333 S. Oxford Valley Rd.
Fairless Hills, PA 19030 - Phone
- (215) 269-1430
- Fax
- (215) 269-4622
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 20169 | NJ | |
| Periodontics | 1223P0300X | DS028154-L | PA | Primary |
Addresses
Primary practice location
333 S. Oxford Valley Rd.
Fairless Hills, PA 19030
Mailing address
333 S. Oxford Valley Rd.
Fairless Hills, PA 19030
Phone (215) 269-1430
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20169 | NJ | MD | Periodontist |
| DS028154-L | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295797983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S. OXFORD VALLEY RD.",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "19030",
"telephone_number": "215-269-1430",
"fax_number": "215-269-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S. OXFORD VALLEY RD.",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "19030",
"telephone_number": "215-269-1430",
"fax_number": "215-269-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICHARA",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "20169",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS028154-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairless Hills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.