John Sanford Birch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010113 Issued in GA

Practice address

1024 Market Place Blvd
Cumming, GA 30041

Phone

(770) 844-6771

Fax

(770) 844-6686

NPI assigned

Jan 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peachstate Perio and Implants, Inc.

  • Dental Clinic/Center
  • Cumming, GA
  • NPI 1528491644
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1497931265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MARKET PLACE BLVD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "770-844-6771",
            "fax_number": "770-844-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MARKET PLACE BLVD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "770-844-6771",
            "fax_number": "770-844-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "JOHN",
        "middle_name": "SANFORD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353812D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber L Bickers
• Rachael Bierschenk, ARNP
• Valerie Billstrom
• Michael Lasala Binstock, PAC
• Bio-Medical Applications of Georgia, Inc.
• Corey Richelle Bird, PHARM. D.
• Kylee Bishop, D.D.S.
• Brandy Bisig, MCD, CCC-SLP
• Kimberly Bitter, CNM
• BJ'S Wholesale Club Inc.

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.