Active NPI
Scott J Bibbens, DMD
- General Practice Dentistry
- Wenatchee, WA
National Provider Identifier
1578554135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00010100
- Practice address
- 222 N Mission
Mission Street Dental
Wenatchee, WA 98801 - Phone
- (509) 662-3651
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010100 | WA | Primary |
Addresses
Primary practice location
222 N Mission
Mission Street Dental
Wenatchee, WA 98801
Mailing address
222 N Mission
Mission Street Dental
Wenatchee, WA 98801
Phone (509) 662-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5047279 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010100 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1578554135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N MISSION",
"address_2": "MISSION STREET DENTAL",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-662-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MISSION",
"address_2": "MISSION STREET DENTAL",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-662-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBENS",
"first_name": "SCOTT",
"middle_name": "J",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5047279",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
- Kristin J Beyerl, P.T.
- BFG Wenatchee Propco IV, LLC (Fieldstone Memory Care of Wenatchee)
- Sunny Bhaskaran, MD
- Vasudev N Bhide, MD
- Christina Ann Bias, BA, CDP
- Biggar Chiropractic Center PS
- Corinne Viebrock Biggar, PA-C
- Michael Brent Biggar, D.C.
- Emily Elizabeth Bigler, PA-C
- Billy Don Card, Jr., DDS, Ms, PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.