Charles Wayne Bishop, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013641 Issued in MO

Practice address

7211 NW 83Rd St
Suite 120
Kansas City, MO 64152-6021

Phone

(816) 587-9170

Fax

(816) 587-2321

NPI assigned

Nov 29, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316014780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST",
            "address_2": "SUITE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526021",
            "telephone_number": "816-587-9170",
            "fax_number": "816-587-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 NW 83RD ST",
            "address_2": "SUITE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641526021",
            "telephone_number": "816-587-9170",
            "fax_number": "816-587-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coreen Bisel
• Aimee R Bishop, RADIOLOGIC TECHNOLOG
• Amy M Bishop, RN, APRN, FNP-C
• Bradley Bishop, MD
• Brian Bishop, RN
• Hope Bishop, LSCSW
• Kaitlyn Ann Bishop
• Lauren Anne Bishop, LCSW
• Riley James Bishop, L.C.S.W.
• Gail Bissell, RN, ANP, FNP

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• 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.