Jean-Marie Biebuyck

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

17197 Issued in MA

Practice address

412 S Main St
Bradford, MA 01835-7210

Phone

(978) 985-5353

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MA

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871508259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W CANTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181202",
            "telephone_number": "978-985-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S MAIN ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357210",
            "telephone_number": "978-985-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEBUYCK",
        "first_name": "JEAN-MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "17197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth J. Anthony, LMHC, LADC1
• Karl Andre Arakelian, DMD
• Christopher Avdoian, LICSW
• Kimberly Beebe
• Christina M Betances, NP
• Boston Sports Chiropractic
• Thomas J Bower, DMD
• Joseph Boyan
• Bradford Smiles Corporation (Karl Arakelian DMD)
• Kim Bradlee, CPM

• Public Health Dentistry in Bradford, MA
• Providers in Bradford, MA by specialty
• Public Health Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.