Bivona Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

5848 Issued in AL

Legal business name

BIVONA FAMILY DENTAL

Practice address

1206 Highway 78 E
Jasper, AL 35501-3939

Phone

(205) 387-8888

Fax

(205) 387-8118

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jacob Bivona, DMD

Title

Dentist

Phone

(205) 387-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1285988758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013939",
            "telephone_number": "205-387-8888",
            "fax_number": "205-387-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013939",
            "telephone_number": "205-387-8888",
            "fax_number": "205-387-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVONA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BIVONA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-387-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142151",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BHC-Walker Neurology
• BHC-Walker Primary Care
• Birmingham Vamc
• Julianne Stephenson Bittle, FNP-BC
• Bivona and Branstetter Family Dental, LLC
• Jillian Bivona, D.C.
• John S Bivona, MD
• Katherine Bivona, MD
• BL Wadsworth LLC
• Mary Megan Black, PT, DPT

• Dentist in Jasper, AL
• Providers in Jasper, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.