Active NPI
Brian Wesley Bishop
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1144435637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22676
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22676 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clock Cycle Dental | Current | 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.
-
- Dental Clinic/Center
- Dallas, TX
- NPI 1730730813
-
- Dentist
- Dallas, TX
- NPI 1942668769
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.