Individual provider Active NPI

John S Faerber, DDS PA

  • Dentist
  • Prairie Village, KS
National Provider Identifier
1275504953
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5880 Issued in KS
Practice address
4121 W 83Rd St
Suite 245
Prairie Village, KS 66208-5300
Phone
(913) 648-6694
Fax
(913) 648-6697
NPI assigned
Jan 30, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5880 KS Primary

Addresses

Primary practice location

4121 W 83Rd St
Suite 245
Prairie Village, KS 66208-5300

Mailing address

4121 W 83Rd Street
Suite 245
Prairie Village, KS 66208
Phone (913) 648-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 21, 2015 through Dec 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5880KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cody Welding D.D.S. P.a. PastSince Mar 20, 2025 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275504953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 83RD STREET",
            "address_2": "SUITE 245",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-648-6694",
            "fax_number": "913-648-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST",
            "address_2": "SUITE 245",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085300",
            "telephone_number": "913-648-6694",
            "fax_number": "913-648-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAERBER",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.