Karl L. Bierdeman, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

20011518 Issued in MS

Practice address

525 Thomastown LN
Suite a
Ridgeland, MS 39157-3440

Phone

(601) 856-3054

Fax

(601) 856-5937

NPI assigned

Jul 14, 2010

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

Other names 1

• Karl L. Bierdeman Orthodontics, PA Professional name

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1346552767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 THOMASTOWN LN",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573440",
            "telephone_number": "601-856-3054",
            "fax_number": "601-856-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 THOMASTOWN LN",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573440",
            "telephone_number": "601-856-3054",
            "fax_number": "601-856-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERDEMAN",
        "first_name": "KARL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "20011518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARL",
            "last_name": "BIERDEMAN ORTHODONTICS, PA",
            "middle_name": "L.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beyond Play Therapy Group, PLLC
• BHJM LLC
• Bibb Family Medicine, PLLC
• John Henry Biddle Jr., CRNA
• Laura Rounsaville Biddy, SLP
• Patrick Cary Bierdeman, DMD
• Biofourmis Care FL PLLC
• Madison L Bishop
• Wendy Bitner, OTR
• Carlos Black, PHARMD.

• Orthodontics and Dentofacial Orthopedics Dentistry in Ridgeland, MS
• Providers in Ridgeland, 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 Jul 14, 2010; 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.