Individual provider Active NPI

Frederick Thomas Birsch, DDS

  • General Practice Dentistry
  • Portsmouth, VA
National Provider Identifier
1467628719
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401004057 Issued in VA
Practice address
3413 South St
Portsmouth, VA 23707-3219
Phone
(757) 393-9929
Fax
(757) 393-6353
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401004057 VA Primary

Addresses

Primary practice location

3413 South St
Portsmouth, VA 23707-3219

Mailing address

3413 South St
Portsmouth, VA 23707-3219
Phone (757) 393-9929

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

LicenseStateTypeSpecialty
0401004057VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick T. Birsch, DDS, LTD. General Practice Past Accepting new patients
Laurie a Birsch, DDS, PC Past Accepting new patients

Organizations & group practices 2

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1467628719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 SOUTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073219",
            "telephone_number": "757-393-9929",
            "fax_number": "757-393-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 SOUTH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073219",
            "telephone_number": "757-393-9929",
            "fax_number": "757-393-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRSCH",
        "first_name": "FREDERICK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.