Individual provider Active NPI

Susan Sollars Bishop, DMD

  • Dentist
  • Florence, KY
National Provider Identifier
1053585307
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7749 Issued in KY
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

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000819 KY Practitioner - Oral Surgery 9234396748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7749KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Dec 27, 2011 Accepting new patients
University of Kentucky Dentist CurrentSince Dec 27, 2011 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.

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

Verify at the official NPI Registry.