Individual provider Active NPI

Brian Wesley Bishop

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1144435637
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22676 Issued in TX
Practice address
8550 Plano Rd Ste 104
Dallas, TX 75238-4824
Phone
(214) 342-8300
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22676 TX
General Practice Dentistry 1223G0001X 22676 TX Primary

Addresses

Primary practice location

8550 Plano Rd Ste 104
Dallas, TX 75238-4824

Mailing address

1409 S. Lamar St. #529
Dallas, TX 75215
Phone (214) 205-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22676TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clock Cycle Dental CurrentSince Jun 22, 2021 Accepting new patients
Lynn Sleep Wellness Solutions Dentist Past Accepting new patients

Locations

8550 Plano Rd
Ste 104
Dallas, TX 75238
Phone (214) 205-9097

Organizations & group practices 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1144435637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S. LAMAR ST. #529",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75215",
            "telephone_number": "214-205-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 PLANO RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384824",
            "telephone_number": "214-342-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BRIAN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22676",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.