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

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Jul 8, 2007.

{
    "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
• Kim Bradlee, CPM

• All providers in Bradford, MA
• 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.