Sheila T Birth, D.D.S. M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

07979621 Issued in TX

Practice address

5407 Basswood Blvd Ste 107
Fort Worth, TX 76137-4499

Phone

(817) 348-0910

Fax

(817) 348-0422

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 Nov 30, 2015 through Nov 30, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1386862514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 BASSWOOD BLVD STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374499",
            "telephone_number": "817-348-0910",
            "fax_number": "817-348-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 BASSWOOD BLVD STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374499",
            "telephone_number": "817-348-0910",
            "fax_number": "817-348-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRTH",
        "first_name": "SHEILA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "07979621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091086103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172836201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel D Birkner, ED.D., L.P.C.
• Jan L Birks, CLINICAL SOCIAL WORK
• Brian D. Birmingham, CRNA
• Birth Fletcher Oral Surgery Keller
• Birth Stewart Oral Surgery Ft Worth
• Brittany Bisetti
• Katherine L Bishop, LCDC
• Kayla R Bishop
• Lacey Bishop
• Mary Kay Bishop, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.