Organization Active NPI

Bishop and Takemoto Dentistry, Inc.

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1366645004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105071 Issued in CO
Legal business name
BISHOP AND TAKEMOTO DENTISTRY, INC.
Practice address
4840 Riverbend Rd Ste 200
Boulder, CO 80301-2608
Phone
(303) 440-4777
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John M Bishop, DDS
Title
President
Phone
(303) 440-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 105071 CO Primary

Addresses

Primary practice location

4840 Riverbend Rd Ste 200
Boulder, CO 80301-2608

Mailing address

4840 Riverbend Rd Ste 200
Boulder, CO 80301-2608
Phone (303) 440-4777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366645004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 RIVERBEND RD STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012608",
            "telephone_number": "303-440-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 RIVERBEND RD STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012608",
            "telephone_number": "303-440-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP AND TAKEMOTO DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-440-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.