Bishop Family Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

78978139922 Issued in UT

Legal business name

BISHOP FAMILY DENTAL

Practice address

2120 E 3900 S
Suite 102
Salt Lake City, UT 84124-1771

Phone

(801) 274-2500

Fax

(801) 274-0590

NPI assigned

Dec 14, 2015

Last updated

Dec 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Bishop, DMDNPI 1912204132

Title

President

Phone

(801) 274-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel J. Bishop, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1912204132
  NPD (past) Authorized official
• Chad Michael Goeckeritz, D.D.S.

  • General Practice Dentistry
  • Salt Lake City, UT
  • NPI 1821258260
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1023483252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E 3900 S",
            "address_2": "SUITE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241771",
            "telephone_number": "801-274-2500",
            "fax_number": "801-274-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E 3900 S",
            "address_2": "SUITE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241771",
            "telephone_number": "801-274-2500",
            "fax_number": "801-274-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-274-2500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "78978139922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Birnbaum, LCSW
• Cameron Birrell, DDS
• Nicole E. Birrer, MD
• Dianna Bischoff
• Yvonne Maria Bisgaard
• Amy Nicole Bishop
• Bryan L. Bishop, MD
• Daniel J. Bishop, DMD
• David Dean Bishop, R.PH.
• Jon J Bishop, LPC

• Preferred Provider Organization in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Preferred Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.