Individual provider Active NPI

Mark Stephen Bichajian, D.M.D.

  • General Practice Dentistry
  • Warwick, RI
National Provider Identifier
1780729582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2012 Issued in RI
Practice address
708 Warwick Ave
Warwick, RI 02888-2670
Phone
(401) 785-2111
Fax
(401) 941-1547
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2012 RI Primary

Addresses

Primary practice location

708 Warwick Ave
Warwick, RI 02888-2670

Mailing address

55 Beechwood Dr
Cranston, RI 02921-3301
Phone (401) 822-0096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20160831000820 RI Order and Referring Only - DentistPractitioner - Dentist 2163718107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark S. Bichajian, DMD, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780729582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEECHWOOD DR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029213301",
            "telephone_number": "401-822-0096",
            "fax_number": "401-941-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028882670",
            "telephone_number": "401-785-2111",
            "fax_number": "401-941-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICHAJIAN",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.