BISHOP FAMILY DENTAL (NPI# 1023483252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023483252 |
| Entity Type | Organization |
| Organization Name | BISHOP FAMILY DENTAL |
| Practice Address |
2120 E 3900 S Suite 102 Salt Lake City UT 84124-1771 |
| Practice Telephone | 8012742500 |
| Practice Fax Number | 8012740590 |
| Mailing Telephone | 8012742500 |
| Mailing Fax Number | 8012740590 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | DANIEL BISHOP (PRESIDENT) |
| Authorized Official Telephone | 8012742500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 78978139922 | UT | Managed Care Organizations |
| Street Address |
2120 E 3900 S SUITE 102 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912204132 | Daniel J. Bishop | Dentist | 2120 E 3900 S, Suite 102, Salt Lake City, UT 84124-1771 | 2011-02-24 |
| 1821258260 | Chad Michael Goeckeritz | Dentist | 2120 E 3900 S, Suite 102, Salt Lake City, UT 84124-1771 | 2008-06-10 |
| 1073533295 | Thomas Gurrister | Speech-Language Pathologist | 2120 E 3900 S, #100, Salt Lake City, UT 84124-1771 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578928172 | Sugar House Dental Management LLC | Preferred Provider Organization | 1955 S 1300 E Ste L2, Salt Lake City, UT 84105-3675 | 2015-12-23 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| 1316172596 | The Tooth Doctor | Preferred Provider Organization | 2180 E Fort Union Blvd., Salt Lake City, UT 84121 | 2009-05-18 |
| 1689819526 | Comp Today Lc | Preferred Provider Organization | 480 E 6400 S Ste 100, Salt Lake City, UT 84107-7594 | 2008-12-05 |
| 1730517517 | Bkp Dental | Preferred Provider Organization | 4066 S 4000 W, Salt Lake City, UT 84120-4040 | 2013-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820580 | Assertahealth Inc. | Preferred Provider Organization | 10421 S Jordan Gtwy Ste 660, South Jordan, UT 84095-3905 | 2019-09-12 |
| 1952841819 | Pinnacle Recovery Iop | Preferred Provider Organization | 9102 S 300 W, Sandy, UT 84070-2643 | 2017-02-26 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| 1780037879 | Summit Senior Living LLC | Preferred Provider Organization | 5524 W 6200 S, Kearns, UT 84118-7925 | 2016-07-13 |
| 1790152551 | Helping Hands In-home Care LLC | Preferred Provider Organization | 690 N 3900 W, Cedar City, UT 84721-8130 | 2015-08-27 |
| 1407261506 | Utah Facial & Oral Surgery | Preferred Provider Organization | 3473 W South Jordan Pkwy, #4, South Jordan, UT 84095-6015 | 2014-06-26 |
| 1972928760 | Heros for Independent Living | Preferred Provider Organization | 655 Medical Dr, Suite 103, Bountiful, UT 84010-5168 | 2014-03-03 |
| 1265677678 | Edward K. Madsen, M.d., A Professional Corporation | Preferred Provider Organization | 590 E 100 N Ste 4, Price, UT 84501-2600 | 2008-12-14 |
| 1205008166 | James F. Allen, Mdpc | Preferred Provider Organization | 175 N 100 W Ste 101, Vernal, UT 84078-2057 | 2008-03-31 |
| 1760677520 | Ronald Baird | Preferred Provider Organization | 234 N Orem Blvd, Orem, UT 84057-6601 | 2007-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.