Tyson Bishop, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12258240-9923 Issued in UT

Practice address

625 E 500 S Ste 203
Bountiful, UT 84010-3884

Phone

(801) 292-6819

NPI assigned

Mar 27, 2020

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

State licenses

Practice roles

Locations

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.

• MVP Dental, PLLC

  • General Practice Dentistry
  • Farmington, UT
  • NPI 1215554167
  NPD
• Mark H. Blaisdell DDS, PC

  • Dentist
  • Bountiful, UT
  • NPI 1184958159
  NPD (past)
• Roseman University of Health Sciences, a Nevada Non-Profit Corp

  • Dentist
  • South Jordan, UT
  • NPI 1417363821
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1770111692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W 150 N",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542414",
            "telephone_number": "801-372-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 500 S STE 203",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103884",
            "telephone_number": "801-292-6819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 W 150 N",
            "address_purpose": "LOCATION",
            "city": "North Salt Lake",
            "state": "UT",
            "postal_code": "840542414",
            "country_code": "US",
            "telephone_number": "801-372-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "TYSON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-12-14",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12258240-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Jay Bingham, M.D.
• Bio Energy Synergy Technology Chiropractic L.L.C. (B.E.S.T Chiropractic)
• Kimberlee Marie Bird
• Brittany Birrell
• Heidi Alexandria Bishop, LCSW
• Schuyler Michelle Bjork
• Anastasia Black
• Angela Black, CFLE-P
• Jessica Dawn Black, ACMHC
• Nikole Black

• General Practice Dentistry in Bountiful, UT
• Providers in Bountiful, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.