Organization Active NPI

Bryant P Birch DDS PC

Doing business as Birch Family Dentistry

  • Dental Clinic/Center
  • Green River, WY
National Provider Identifier
1396277349
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1149 Issued in WY
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Mr. Bryant P Birch, DDSNPI 1427215912
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.