Jonathan Bishop, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1857260 Issued in MA

Practice address

982 Main St
Waltham, MA 02451-7404

Phone

(781) 899-5660

NPI assigned

Apr 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Highland Oral Surgery PLLC

  • Dental Clinic/Center
  • Waltham, MA
  • NPI 1710786256
  NPD Authorized official
• Oral Surgery Partners PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Framingham, MA
  • NPI 1063350650
  NPD (past)
• Oral Surgery Partners PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Milford, MA
  • NPI 1295188332
  NPD (past)

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1295189280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517404",
            "telephone_number": "781-899-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517404",
            "telephone_number": "781-899-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JONATHAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1857260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Biggs, MSW
• Jeffrey A Biller, MD
• Kelly M Bilodeau
• Bio-Medical Applications of Massachusetts, Inc.
• Kaila Birchall, DPT
• Rachel L Bissi
• Ghadam Tom Biuckians, M.D.
• BJ'S Wholesale Club Inc.
• Allyson Black-Foley
• Andrew T Blair, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Waltham, MA
• Providers in Waltham, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.