Active NPI
Susan Sollars Bishop, DMD
- Dentist
- Florence, KY
National Provider Identifier
1053585307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7749
- Practice address
- 6909 Burlington Pike
Suite a
Florence, KY 41042-1618 - Phone
- (859) 647-7068
- Fax
- (859) 647-7038
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7749 | KY | Primary |
| General Practice Dentistry | 1223G0001X | 7749 | KY |
Addresses
Primary practice location
6909 Burlington Pike
Suite a
Florence, KY 41042-1618
Mailing address
6909 Burlington Pike
Suite a
Florence, KY 41042-1618
Phone (859) 647-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120209000819 | KY | Practitioner - Oral Surgery | 9234396748 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7749 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Dentist | Current | Accepting new patients |
| Shelley Shearer DMD PLLC | General Practice | Past | Accepting new patients |
Locations
800 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-5831
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lexington, KY
- NPI 1306929385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1053585307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 BURLINGTON PIKE",
"address_2": "SUITE A",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421618",
"telephone_number": "859-647-7068",
"fax_number": "859-647-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 BURLINGTON PIKE",
"address_2": "SUITE A",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421618",
"telephone_number": "859-647-7068",
"fax_number": "859-647-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "SUSAN",
"middle_name": "SOLLARS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "7749",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "7749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.