Active NPI
John Milton Farley III, DDS
- Dentist
- Portsmouth, OH
National Provider Identifier
1427285980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.022987
- Practice address
- 1500 Grant St
Portsmouth, OH 45662-3606 - Phone
- (740) 354-3395
- NPI assigned
- Jun 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.022987 | OH | Primary |
Addresses
Primary practice location
1500 Grant St
Portsmouth, OH 45662-3606
Mailing address
612 Meadow LN
Apt #2
Wheelersburg, OH 45694-8871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.022987 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1427285980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 MEADOW LN",
"address_2": "APT #2",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456948871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GRANT ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623606",
"telephone_number": "740-354-3395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "JOHN",
"middle_name": "MILTON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-11",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.022987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.