Heather Ashley Bristow, D. D. S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27942 Issued in TX

Practice address

4301 N Macarthur Blvd Ste 100
Irving, TX 75038-6497

Phone

(972) 255-3712

Fax

(972) 255-5693

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1649533647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-255-3712",
            "fax_number": "972-255-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386497",
            "telephone_number": "972-255-3712",
            "fax_number": "972-255-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "HEATHER",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Bridgeforth, CCC-SLP
• Brightstar of Irving
• Cynthia Anna Brinker, PT
• William Anthony Brinkman, CCC-SLP
• Alyssa Brielle Brion, PA-C
• Margaret Broadhead, DNP, CRNA
• Preston Broadhead, DNP, CRNA
• Adam C Brock, FNP
• Joel Brandon Brock, NP-C, DC
• Shalena Chantel Brock, LMSW

• General Practice Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.