Jennifer Hauser Bisig, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN013139 Issued in GA

Practice address

1400 Buford Hwy
Suite B-4
Buford, GA 30518-8721

Phone

(770) 831-0551

Fax

(770) 831-0662

NPI assigned

Sep 10, 2008

Last updated

Jan 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1740439157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY",
            "address_2": "SUITE B-4",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188721",
            "telephone_number": "770-831-0551",
            "fax_number": "770-831-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY",
            "address_2": "SUITE B-4",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188721",
            "telephone_number": "770-831-0551",
            "fax_number": "770-831-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIG",
        "first_name": "JENNIFER",
        "middle_name": "HAUSER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Buford, GA
• Providers in Buford, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.