Individual provider Active NPI

Laurie Burdman, DDS

  • General Practice Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1013057587
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN-17211 Issued in FL
Practice address
26851 Tanic Drive
Suite 101
Wesley Chapel, FL 33543-1817
Phone
(813) 907-2228
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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 DN-17211 FL Primary

Addresses

Primary practice location

26851 Tanic Drive
Suite 101
Wesley Chapel, FL 33543-1817

Mailing address

2402 W Azeele St
Apt # 430
Tampa, FL 33609-3369
Phone (207) 441-6262

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
DN-17211FLMDGeneral Practice Dentistry

Networks

  • FL HMO C-SNP
  • FL HMO D-SNP

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1013057587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W AZEELE ST",
            "address_2": "APT # 430",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093369",
            "telephone_number": "207-441-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26851 TANIC DRIVE",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335431817",
            "telephone_number": "813-907-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDMAN",
        "first_name": "LAURIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-17211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.