Individual provider Active NPI

John Sebastian Bivona Sr., DENTIST GP DMD

  • General Practice Dentistry
  • Bessemer, AL
National Provider Identifier
1184730038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3145 Issued in AL
Practice address
1430 3Rd Ave N
Bessemer, AL 35020
Phone
(205) 428-4086
Fax
(205) 428-4088
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3145 AL Primary

Addresses

Primary practice location

1430 3Rd Ave N
Bessemer, AL 35020

Mailing address

1430 3Rd Ave N
Bessemer, AL 35020
Phone (205) 428-4086

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
3145ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184730038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 3RD AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35020",
            "telephone_number": "205-428-4086",
            "fax_number": "205-428-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 3RD AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35020",
            "telephone_number": "205-428-4086",
            "fax_number": "205-428-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVONA",
        "first_name": "JOHN",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DENTIST GP DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.