Dr. Sheila Birth-Orthodontics-Keller, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

14150 Issued in TX

Legal business name

DR. SHEILA BIRTH-ORTHODONTICS-KELLER, LLC

Practice address

4420 Heritage Trace Pkwy Ste 300
Fort Worth, TX 76244-8904

Phone

(817) 348-0910

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

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

Title

Orthodontist

Phone

(817) 348-0910

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1962544395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 HERITAGE TRACE PKWY STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448904",
            "telephone_number": "817-348-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HERITAGE TRACE PKWY STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448904",
            "telephone_number": "817-348-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHEILA BIRTH-ORTHODONTICS-KELLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "BIRTH",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "817-348-0910",
        "authorized_official_credential": "D. D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "14150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172836201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 28, 2014; 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.