Active NPI
Patrick Cary Bierdeman, DMD
- Dentist
- Ridgeland, MS
National Provider Identifier
1407414204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4051-19
- Practice address
- 321 Highway 51 Ste a
Ridgeland, MS 39157-3404 - Phone
- (601) 856-4420
- NPI assigned
- Jun 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4051-19 | MS | Primary |
Addresses
Primary practice location
321 Highway 51 Ste a
Ridgeland, MS 39157-3404
Mailing address
775 N Bierdeman Rd
Pearl, MS 39208-3300
Phone (601) 667-1198
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 |
|---|---|---|---|
| 4051-19 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeland Dental, LLC | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1407414204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 N BIERDEMAN RD",
"city": "PEARL",
"state": "MS",
"postal_code": "392083300",
"telephone_number": "601-667-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 HIGHWAY 51 STE A",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573404",
"telephone_number": "601-856-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERDEMAN",
"first_name": "PATRICK",
"middle_name": "CARY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "4051-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.