Fred D Bicoy, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34590 Issued in CA

Practice address

10175 Rancho Carmel Dr
Suite 110
San Diego, CA 92128-3675

Phone

(858) 674-1148

Fax

(858) 674-9601

NPI assigned

Nov 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992879779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503931",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921503931",
            "telephone_number": "858-674-1148",
            "fax_number": "858-674-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 RANCHO CARMEL DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283675",
            "telephone_number": "858-674-1148",
            "fax_number": "858-674-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICOY",
        "first_name": "FRED",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Bicherova, PHD
• Amy Beth Bick, COTA/L
• Jordan Weber Bick, CCC-SLP
• Clare K Bickler, NP
• Stephen William Bickler, M.D.
• Kristin L. Bidermann, CPNP
• Erin Bieber, LCSW
• Leticia Ann Biedenbender, RN
• Shane Biedermann
• Monica Biedes

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.