Jeffrey John Bisely, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32693 Issued in CA

Practice address

California Men's Colony Dental Department
Highway 1
San Luis Obispo, CA 93409-0001

Phone

(805) 547-7857

NPI assigned

Nov 19, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1790966695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALIFORNIA MEN'S COLONY DENTAL DEPARTMENT",
            "address_2": "HIGHWAY 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-547-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALIFORNIA MEN'S COLONY DENTAL DEPARTMENT",
            "address_2": "HIGHWAY 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-547-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISELY",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Bing, M.A., LMFT
• Jami Lea Bing
• Hayley Eryn Bingham
• Janelle Pauline Biron
• Beverly Biscocho
• Ahna Nicole Bishop, LCSW
• Mark Douglas Bishop
• Megan M Bishop, B.S., NUTRITIONIST
• Shante L Bishop
• Blanca Bisuna, MD

• Dentist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.