Bierdeman Othodontics PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

OR15188 Issued in MS

Legal business name

BIERDEMAN OTHODONTICS PA

Practice address

2680 River Ridge Road
Jackson, MS 39216-5018

Phone

(601) 981-3036

Fax

(601) 981-2959

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Karl Lee Bierdeman, DMD

Title

President

Phone

(601) 981-3036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1194904094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 RIVER RIDGE ROAD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165018",
            "telephone_number": "601-981-3036",
            "fax_number": "601-981-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 RIVER RIDGE ROAD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165018",
            "telephone_number": "601-981-3036",
            "fax_number": "601-981-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIERDEMAN OTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "BIERDEMAN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-981-3036",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR15188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bibb, M.D.
• Madison Bibbs, MS
• Shaprise Deniseyell Bibbs
• Adam Bicak
• Josie Herbert Bidwell, NP-C
• Carolyn L Bigelow, MD
• Rodney T Biggs, NP
• William Reed Bigham
• Steven A Bigler, M.D.
• Anjelica Lee Bilbro

• Orthodontics and Dentofacial Orthopedics Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.