Individual provider Active NPI

Michael Stanley Firth, D.D.S

  • General Practice Dentistry
  • Irondale, AL
National Provider Identifier
1962557199
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10779 Issued in GA
Practice address
4500 Montevallo Rd
Suite B105
Irondale, AL 35210-3129
Phone
(205) 595-2273
Fax
(205) 595-2235
NPI assigned
Jan 25, 2007
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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 10779 GA Primary

Addresses

Primary practice location

4500 Montevallo Rd
Suite B105
Irondale, AL 35210-3129

Mailing address

4500 Montevallo Rd
B105
Irondale, AL 35210-3129
Phone (205) 595-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000922 AL Order and Referring Only - DentistPractitioner - Dentist 3577841857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Care of Alabama LLC Past Accepting new patients

Organizations & group practices 1

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1962557199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MONTEVALLO RD",
            "address_2": "B105",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103129",
            "telephone_number": "205-595-2273",
            "fax_number": "205-595-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MONTEVALLO RD",
            "address_2": "SUITE B105",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103129",
            "telephone_number": "205-595-2273",
            "fax_number": "205-595-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "MICHAEL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

Verify at the official NPI Registry.