DR. LARISSA KYLE BISHOP D.D.S.
NPI 1275552010
Dentist - General Practice in Grandville, MI
About Dr. Larissa Kyle Bishop D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LARISSA KYLE BISHOP D.D.S. (NPI 1275552010) is an individual general practice provider in Grandville, Michigan, licensed in Michigan (2901018015) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Larissa Kyle Bishop D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANDVILLE, MI 49418
GRANDVILLE, MI 49418
GRANDVILLE, MI 49418
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Larissa Bishop's NPI number?
The NPI number for Larissa Bishop is 1275552010. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Larissa Bishop located?
Larissa Bishop practices at 3181 Prairie St SW Suite 106, Grandville, MI 49418. The listed phone number is (616) 531-0360.
What is Larissa Bishop's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Larissa Bishop enrolled in Medicare?
Yes. Larissa Bishop is registered in the Medicare PECOS enrollment system.
What insurance does Larissa Bishop accept?
Health plans from Delta Dental of Michigan list Larissa Bishop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Larissa Bishop was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Larissa Kyle Bishop, D.D.S. · NPI 1275552010
General Practice provider in Grandville, Michigan. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1275552010 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901018015 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3181 PRAIRIE ST SW, SUITE 106, Grandville, MI 49418-2097
- **Phone:** (616) 531-0360 · **Fax:** (616) 531-2810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 4487030 (MI); Other D180150 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1275552010) · Data from the CMS NPPES public registry.