Bishop Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3662 Issued in AR

Legal business name

BISHOP FAMILY DENTISTRY

Doing business as

Bishop Family Dentistry

Practice address

1742 W Center St
Greenwood, AR 72936-3420

Phone

(479) 996-1717

Fax

(479) 996-1335

NPI assigned

Apr 2, 2014

Last updated

Apr 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Wayne Bishop, D.D.S.NPI 1710149521

Title

President

Phone

(479) 996-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bishop Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan W Bishop, D.D.S.

  • Dentist
  • Greenwood, AR
  • NPI 1710149521
  NPD Authorized official

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1851719330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3500",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363500",
            "telephone_number": "479-996-1717",
            "fax_number": "479-996-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363420",
            "telephone_number": "479-996-1717",
            "fax_number": "479-996-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-996-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176538608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bishop Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrell Wayne Bailey, DDS
• Kandace Baldwin
• Rhonda Michele Barnes, L.C.S.W.
• Lance W Barton, MD
• Jaymie Bell, M.S.
• Bryan W Bishop, D.D.S.
• Lu Ann Blackard, SLP-CCC
• Bohannan Irgens Group LLC
• Bohannan Physical Therapy LLC
• David Steven Bohannan, DPT

• General Practice Dentistry in Greenwood, AR
• Providers in Greenwood, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.