Individual provider Active NPI

Wayne B Bishop, D.D.S.

  • General Practice Dentistry
  • Denton, TX
National Provider Identifier
1699703652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13436 Issued in TX
Practice address
2219 S Loop 288
#215
Denton, TX 76205-4991
Phone
(940) 591-9700
Fax
(940) 387-7982
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13436 TX Primary

Addresses

Primary practice location

2219 S Loop 288
#215
Denton, TX 76205-4991

Mailing address

2219 S Loop 288
#215
Denton, TX 76205-4991
Phone (940) 591-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508002740 TX Order and Referring Only - DentistPractitioner - Dentist 4486996642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13436TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chris E. Edmondsondds & Associates, PLLC General Practice Past Accepting new patients
Choctaw Nation of Oklahoma Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wbishop20067@choctawnation.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699703652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 S LOOP 288",
            "address_2": "#215",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054991",
            "telephone_number": "940-591-9700",
            "fax_number": "940-387-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S LOOP 288",
            "address_2": "#215",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054991",
            "telephone_number": "940-591-9700",
            "fax_number": "940-387-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "WAYNE",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.