Active NPI
Gayla Renee Bivens, D.D.S.
- Dentist
- Burlington, NC
National Provider Identifier
1174796536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7883
- Practice address
- 1203 Vaughn Rd
Burlington, NC 27217-2846 - Phone
- (336) 228-8392
- Fax
- (336) 227-0635
- NPI assigned
- Apr 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7883 | NC | Primary |
Addresses
Primary practice location
1203 Vaughn Rd
Burlington, NC 27217-2846
Mailing address
1203 Vaughn Rd
Burlington, NC 27217-2846
Phone (336) 228-8392
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 |
|---|---|---|---|
| 7883 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Roslyn M. Crisp | Past | Accepting new patients | |
| Roslyn M. Crisp DD, Ms, PA | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Burlington, NC
- NPI 1538331350
-
- Dentist
- Burlington, NC
- NPI 1881985398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1174796536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172846",
"telephone_number": "336-228-8392",
"fax_number": "336-227-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172846",
"telephone_number": "336-228-8392",
"fax_number": "336-227-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIVENS",
"first_name": "GAYLA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.