Individual provider Active NPI

David M Firestone, D.D.S.

  • Dentist
  • Studio City, CA
National Provider Identifier
1225311574
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D22494 Issued in CA
Practice address
12435 Riverside Dr
Studio City, CA 91607-3509
Phone
(818) 980-5700
Fax
(818) 980-2172
NPI assigned
Sep 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D22494 CA Primary

Addresses

Primary practice location

12435 Riverside Dr
Studio City, CA 91607-3509

Mailing address

12435 Riverside Dr
Studio City, CA 91607-3509
Phone (818) 980-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605000105 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618298423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D22494CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1225311574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 RIVERSIDE DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073509",
            "telephone_number": "818-980-5700",
            "fax_number": "818-980-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 RIVERSIDE DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073509",
            "telephone_number": "818-980-5700",
            "fax_number": "818-980-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D22494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.