Organization Active NPI

Bivona and Branstetter Family Dental, LLC

  • Dental Clinic/Center
  • Jasper, AL
National Provider Identifier
1003272907
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4217 Issued in AL
Legal business name
BIVONA AND BRANSTETTER FAMILY DENTAL, LLC
Practice address
1208 Highway 78 E
Jasper, AL 35501-3963
Phone
(205) 221-2733
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Dr. John Branstetter, DMD
Title
Partner
Phone
(205) 221-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4217 AL Primary

Addresses

Primary practice location

1208 Highway 78 E
Jasper, AL 35501-3963

Mailing address

1208 Highway 78 E
Jasper, AL 35501-3963
Phone (205) 221-2733

National Provider Directory

National Provider Directory

Locations

1208 Highway 78 E
Jasper, AL 35501
Phone (205) 221-2733

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1003272907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013963",
            "telephone_number": "205-221-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013963",
            "telephone_number": "205-221-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVONA AND BRANSTETTER FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "BRANSTETTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "205-221-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.