NPIMap

Organization Active NPI

M. R. Bishop DMD & Associates, PSC

  • General Practice Dentistry
  • Nicholasville, KY
National Provider Identifier
1730200643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5844 Issued in KY
Legal business name
M. R. BISHOP DMD & ASSOCIATES, PSC
Practice address
409 Etter Dr
Nicholasville, KY 40356-1073
Phone
(859) 887-1094
Fax
(859) 885-1604
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael R. Bishop, D.M.D.NPI 1811066970
Title
Owner
Phone
(859) 887-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5844 KY Primary

Addresses

Primary practice location

409 Etter Dr
Nicholasville, KY 40356-1073

Mailing address

409 Etter Dr
Nicholasville, KY 40356-1073
Phone (859) 887-1094

National Provider Directory

National Provider Directory

Locations

409 Etter Dr
Nicholasville, KY 40356
Phone (859) 887-1094

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730200643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ETTER DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561073",
            "telephone_number": "859-887-1094",
            "fax_number": "859-885-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ETTER DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561073",
            "telephone_number": "859-887-1094",
            "fax_number": "859-885-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. R. BISHOP DMD & ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-887-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.