Active NPI
Bryant P Birch DDS PC
Doing business as Birch Family Dentistry
- Dental Clinic/Center
- Green River, WY
National Provider Identifier
1396277349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1149
- Legal business name
- BRYANT P BIRCH DDS PC
- Doing business as
- Birch Family Dentistry
- Practice address
- 661 Uinta Dr
Green River, WY 82935-5056 - Phone
- (307) 875-3658
- NPI assigned
- Mar 29, 2017
- Last updated
- Mar 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryant P Birch, DDS
- Title
- Dentist and Owner of Practice
- Phone
- (307) 871-6832
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 1149 | WY | Primary |
Addresses
Primary practice location
661 Uinta Dr
Green River, WY 82935-5056
Mailing address
PO Box 309
Green River, WY 82935-0309
Phone (307) 875-3658
Other names 1
- Birch Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Green River, WY
- NPI 1427215912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490745600000",
"number": "1396277349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "829350309",
"telephone_number": "307-875-3658",
"fax_number": "307-875-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 UINTA DR",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "829355056",
"telephone_number": "307-875-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYANT P BIRCH DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-29",
"last_updated": "2017-03-29",
"status": "A",
"authorized_official_last_name": "BIRCH",
"authorized_official_first_name": "BRYANT",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DENTIST AND OWNER OF PRACTICE",
"authorized_official_telephone_number": "307-871-6832",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WY",
"license": "1149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Birch Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green River, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.