NPIMap

Organization Active NPI

Bizeau Dentistry

  • Dentist
  • Tillamook, OR
National Provider Identifier
1508137795
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9009 Issued in OR
Legal business name
BIZEAU DENTISTRY
Practice address
2103 10TH St
Tillamook, OR 97141-3912
Phone
(503) 842-5320
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Gabriel J Bizeau, D.M.D.NPI 1568731230
Title
Owner
Phone
(503) 842-5320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9009 OR Primary

Addresses

Primary practice location

2103 10TH St
Tillamook, OR 97141-3912

Mailing address

2103 10TH St
Tillamook, OR 97141-3912

National Provider Directory

National Provider Directory

Locations

2103 10th St
Tillamook, OR 97141
Phone (503) 842-5320

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1508137795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 10TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 10TH ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413912",
            "telephone_number": "503-842-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIZEAU DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "BIZEAU",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-842-5320",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "9009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.