Individual provider Active NPI

John Ralph Firth, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sunset Hills, MO
National Provider Identifier
1063743300
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
015576 Issued in MO
Practice address
3890 So. Lindbergh Blvd.
Suite 115
Sunset Hills, MO 63127
Phone
(314) 843-5553
Fax
(314) 849-6764
NPI assigned
Jan 27, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 015576 MO Primary

Addresses

Primary practice location

3890 So. Lindbergh Blvd.
Suite 115
Sunset Hills, MO 63127

Mailing address

3890 So. Lindbergh Blvd.
Suite 115
Sunset Hills, MO 63127
Phone (314) 843-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015576MOMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
George D Bankhead DDS Ms PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1063743300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 SO. LINDBERGH BLVD.",
            "address_2": "SUITE 115",
            "city": "SUNSET HILLS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-843-5553",
            "fax_number": "314-849-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 SO. LINDBERGH BLVD.",
            "address_2": "SUITE 115",
            "city": "SUNSET HILLS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-843-5553",
            "fax_number": "314-849-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "JOHN",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "015576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset Hills, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.