Active NPI
Mark Michael Bierma, D.D.S. M.S.
- Endodontics
- Sioux Falls, SD
National Provider Identifier
1710059605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D0922
- Practice address
- 5000 S Broadband LN
Suite 126
Sioux Falls, SD 57108-2260 - Phone
- (605) 275-6363
- Fax
- (605) 273-6365
- NPI assigned
- Nov 15, 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D0922 | SD | Primary |
| General Practice Dentistry | 1223G0001X | D11766 | MN |
Addresses
Primary practice location
5000 S Broadband LN
Suite 126
Sioux Falls, SD 57108-2260
Mailing address
5000 S Broadband LN
Suite 126
Sioux Falls, SD 57108-2260
Phone (605) 275-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140619001438 | SD | Order and Referring Only - Oral Surgery | 8628292398 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0922 | SD | MD | Endodontist |
| D11766 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark M Bierma DDS Ms, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Sioux Falls, SD
- NPI 1942690557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1710059605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 S BROADBAND LN",
"address_2": "SUITE 126",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082260",
"telephone_number": "605-275-6363",
"fax_number": "605-273-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 S BROADBAND LN",
"address_2": "SUITE 126",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082260",
"telephone_number": "605-275-6363",
"fax_number": "605-273-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERMA",
"first_name": "MARK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S. M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SD",
"license": "D0922",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D11766",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.