Active NPI
Deborah S Bishop, D.M.D.
- Endodontics
- Huntsville, AL
National Provider Identifier
1962582536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3550
- Practice address
- 2227 Drake Ave SW
Suite 7-C
Huntsville, AL 35805-5199 - Phone
- (256) 882-5161
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3550 | AL | Primary |
Addresses
Primary practice location
2227 Drake Ave SW
Suite 7-C
Huntsville, AL 35805-5199
Mailing address
2227 Drake Ave SW
Suite 7-C
Huntsville, AL 35805-5199
Phone (256) 882-5161
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160120000310 | AL | Order and Referring Only - Other (Non-Physician) | 5496058851 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3550 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962582536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 DRAKE AVE SW",
"address_2": "SUITE 7-C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358055199",
"telephone_number": "256-882-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 DRAKE AVE SW",
"address_2": "SUITE 7-C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358055199",
"telephone_number": "256-882-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "DEBORAH",
"middle_name": "S",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AL",
"license": "3550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.