Marvin David Bishop III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3314 Issued in AL

Practice address

112 Lily Flagg Rd SW
Suite B
Huntsville, AL 35802-3040

Phone

(256) 881-4580

Fax

(256) 881-4585

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Rocket City Dental

  • Dental Clinic/Center
  • Huntsville, AL
  • NPI 1609417195
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720200207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LILY FLAGG RD SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023040",
            "telephone_number": "256-881-4580",
            "fax_number": "256-881-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LILY FLAGG RD SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023040",
            "telephone_number": "256-881-4580",
            "fax_number": "256-881-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARVIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birmingham Vamc
• Birmingham Vamc
• Brooke Renee Bishop
• Deborah S Bishop, D.M.D.
• Deborah Teneisha Bishop II
• Emily Christina Bizzell
• BJRS Inc (Home Instead Senior Care)
• BKD Jones Farm, LLC (Brookdale Jones Farm)
• BKD Personal Assistance Services LLC (Brookdale at Home Jones Farm)
• Black Sheep Counseling Services

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.