Organization Active NPI

Gunnison Family Dentistry

  • Dentist
  • Gunnison, CO
National Provider Identifier
1811241433
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN-10677 Issued in CO
Legal business name
GUNNISON FAMILY DENTISTRY
Practice address
204 N 12TH St
Gunnison, CO 81230-3004
Phone
(970) 641-3406
Fax
(970) 641-3408
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Brady Bichon, DDS
Title
Owner/Dentist
Phone
(970) 641-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN-10677 CO Primary

Addresses

Primary practice location

204 N 12TH St
Gunnison, CO 81230-3004

Mailing address

204 N 12TH St
Gunnison, CO 81230-3004
Phone (970) 641-3406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1811241433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 12TH ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303004",
            "telephone_number": "970-641-3406",
            "fax_number": "970-641-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 12TH ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303004",
            "telephone_number": "970-641-3406",
            "fax_number": "970-641-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BICHON",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "970-641-3406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN-10677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.