Bivens Dental Group PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6858 Issued in TN

Legal business name

BIVENS DENTAL GROUP PC

Doing business as

Hickman Dental Center

Practice address

5103 Highway 100
Lyles, TN 37098-1879

Phone

(931) 670-5961

NPI assigned

Nov 4, 2008

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

BIVENS DENTAL GROUP PCAs reported in NPPES

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

Authorized official

Name

Darryl A Bivens, DDSNPI 1598755407

Title

Dentist

Phone

(931) 670-5961

Specialties & licenses 1

Addresses

Other names 1

• Hickman Dental Center Doing business as

Part of

Bivens Dental Group PC

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.

• Darryl A Bivens, D.D.S.

  • General Practice Dentistry
  • Lyles, TN
  • NPI 1598755407
  NPD Authorized official

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1871747832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 HIGHWAY 100",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981879",
            "telephone_number": "931-670-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 HIGHWAY 100",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981879",
            "telephone_number": "931-670-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVENS DENTAL GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIVENS DENTAL GROUP PC",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "931-670-5961",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "6858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickman Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darryl A Bivens, D.D.S.
• Community Pharmacy Care, Inc. (Dickson Apothecary East)
• Dialysis Clinic Inc.
• Dickson Medical Associates, PC (DMA Lyles)
• Sarah Whitley Gagnon, LPC-MHSP

• Dental Clinic/Center in Lyles, TN
• Providers in Lyles, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.