Active NPI
Andrew Brian Bishop, DDS
- Dentist
- Morgantown, WV
National Provider Identifier
1396435368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4627
- Practice address
- 3891 University Town Centre Dr
Morgantown, WV 26501-2432 - Phone
- (304) 212-3070
- NPI assigned
- May 11, 2023
- Last updated
- May 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4627 | WV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
3891 University Town Centre Dr
Morgantown, WV 26501-2432
Mailing address
247 Palisades Dr
Morgantown, WV 26508-9009
Phone (304) 619-7701
Other practice location 1
250 Emily Dr
Clarksburg, WV 26301-5500
Phone (304) 398-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4627 | WV | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Rockingham, VA
- NPI 1043114424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1396435368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 PALISADES DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265089009",
"telephone_number": "304-619-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3891 UNIVERSITY TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265012432",
"telephone_number": "304-212-3070"
}
],
"practiceLocations": [
{
"address_1": "250 Emily Dr",
"address_purpose": "LOCATION",
"city": "Clarksburg",
"state": "WV",
"postal_code": "263015500",
"country_code": "US",
"telephone_number": "304-398-3067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "ANDREW",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4627",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
- Krishna Kishore Bingi, M.D
- Bio-Medical Applications of West Virginia, Inc. (Fresenius Medical Care Monongalia County)
- Bio-Medical Applications of West Virginia, Inc. (Bma of Morgantown)
- Benjamin R Birney, MD
- Bridget Bishoff
- Jenna Bishop, OTR/L
- Kenna Bishop, MSW, LGSW
- Nicole Biszantz
- Maria Koren Bittinger
- Russell Biundo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.