NPIMap

Organization Active NPI

Mark Bidwell DMD & Michael Repcsiic DDS

  • Dentist
  • Blue Bell, PA
National Provider Identifier
1851676035
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021556L Issued in PA
Legal business name
MARK BIDWELL DMD & MICHAEL REPCSIIC DDS
Practice address
1213 Skippack Pike
Blue Bell, PA 19422
Phone
(610) 279-4277
Fax
(610) 279-3624
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Mark Lamont Bidwell, DMDNPI 1245572551
Title
Partner
Phone
(610) 279-4277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS021556L PA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS026761L PA

Addresses

Primary practice location

1213 Skippack Pike
Blue Bell, PA 19422

Mailing address

1213 Skippack Pike
Blue Bell, PA 19422
Phone (610) 279-4277

Other names 1

  • Blue Bell Dental Centre Doing business as

National Provider Directory

National Provider Directory

Locations

1213 Skippack Pike
Blue Bell, PA 19422
Phone (610) 279-4277

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1851676035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 SKIPPACK PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "610-279-4277",
            "fax_number": "610-279-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 SKIPPACK PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "610-279-4277",
            "fax_number": "610-279-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BIDWELL DMD & MICHAEL REPCSIIC DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-279-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021556L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026761L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Bell Dental Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.