Individual provider Active NPI

Christopher L Bible, D.D.S.

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1083777874
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
120-10301 Issued in IN
Practice address
3825 W Jefferson Blvd
Fort Wayne, IN 46804-6809
Phone
(260) 435-1968
Fax
(260) 435-1971
NPI assigned
Dec 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 120-10301 IN Primary

Addresses

Primary practice location

3825 W Jefferson Blvd
Fort Wayne, IN 46804-6809

Mailing address

3812 N Washington Rd
Fort Wayne, IN 46804-1816
Phone (260) 432-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160721002003 IN Order and Referring Only - DentistPractitioner - Dentist 7315230877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120-10301INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher L Bible, DDS, PC CurrentSince Apr 9, 2024 Accepting new patients

Locations

3825 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-1968

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083777874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 N WASHINGTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041816",
            "telephone_number": "260-432-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046809",
            "telephone_number": "260-435-1968",
            "fax_number": "260-435-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "120-10301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.