Individual provider Active NPI

Paul Harvey Bishop, D.M.D

  • General Practice Dentistry
  • Decatur, AL
National Provider Identifier
1962507368
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AL5127 Issued in AL
Practice address
431 Johnston St SE
Decatur, AL 35601-3007
Phone
(256) 355-1744
Fax
(256) 351-0784
NPI assigned
Sep 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X AL5127 AL Primary

Addresses

Primary practice location

431 Johnston St SE
Decatur, AL 35601-3007

Mailing address

431 Johnston St SE
Decatur, AL 35601-3007
Phone (256) 355-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001503 AL Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 7911207410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL5127ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Smile Builders, P.C. PastSince Jul 1, 2005 Accepting new patients
Livinghealthymd PC PastSince Jul 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962507368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 JOHNSTON ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013007",
            "telephone_number": "256-355-1744",
            "fax_number": "256-351-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 JOHNSTON ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013007",
            "telephone_number": "256-355-1744",
            "fax_number": "256-351-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "PAUL",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.