Nicolas Ryan Bisig, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13082 Issued in NC

Practice address

1564 N Peace Haven Rd
Winston Salem, NC 27104-6475

Phone

(615) 337-6608

NPI assigned

Nov 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Nicolas R Bisig DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winston Salem, NC
  • NPI 1356036743
  NPD Authorized official
• Professional Dental Alliance of Crossville, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Franklin, TN
  • NPI 1720968639
  NPD (past)
• Professional Dental Alliance of Tennessee, PLLC

  • Pediatric Dentistry
  • Franklin, TN
  • NPI 1669530291
  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1376973693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 N PEACE HAVEN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271042944",
            "telephone_number": "615-337-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 N PEACE HAVEN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271046475",
            "telephone_number": "615-337-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIG",
        "first_name": "NICOLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "13082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birth Tissue Recovery
• Births Your Way
• Andrew Biscardi, MD
• Isabella Bisci, PA
• Lanaee Bishop
• Charlz Bisongebobetchu Bisong Jr., DO
• Kimberly Marie Biss, FNP-C
• Michael G Bissell, CPO, FAAOP
• Randall Glenn Bissette, MD
• Sukirti Bista, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.