John P. Bisson, D.D.S., P.L.L.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

366 Issued in SD

Legal business name

JOHN P. BISSON, D.D.S., P.L.L.C

Doing business as

Bisson Dental

Practice address

305 Main Ave S
Brookings, SD 57006-3144

Phone

(605) 692-2820

Fax

(605) 692-9116

NPI assigned

Mar 9, 2018

Last updated

Mar 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Paul Bisson, D.D.S.

Title

Owner/Dentist

Phone

(605) 490-7752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bisson Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Lee Gates, D.D.S.

  • General Practice Dentistry
  • Brookings, SD
  • NPI 1750310413
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1427551126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063144",
            "telephone_number": "605-692-2820",
            "fax_number": "605-692-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063144",
            "telephone_number": "605-692-2820",
            "fax_number": "605-692-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. BISSON, D.D.S., P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "BISSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "605-490-7752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164803805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bisson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Reeder Jakubiak, LPC
• Molly Janssen
• Jason Jahn OD PC
• Elizabeth Claire Jewett, DPT, PT
• Kristin Lynn Johannsen, ATC
• Evelyn Johner
• Brenda Lenae Johnson, CNP
• Debra K. Johnson, MS LPCMH
• Geoffrey B Johnson, DDS
• Jayden Jack Johnson

• Dental Clinic/Center in Brookings, SD
• Providers in Brookings, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.