John Burns Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19551 Issued in CA

Legal business name

JOHN BURNS PROFESSIONAL DENTAL CORPORATION

Doing business as

City Center Dental Spa

Practice address

300 Frank H. Ogawa Plaza
Suite 100
Oakland, CA 94612

Phone

(510) 763-6300

Fax

(510) 625-8300

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John T. Burns, D.M.D.

Title

Pres.

Phone

(510) 763-6300

Specialties & licenses 1

Addresses

Other names 1

• City Center Dental Spa Doing business as

Locations

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1013244706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANK H OGAWA PLZ",
            "address_2": "SUITE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122037",
            "telephone_number": "510-763-6300",
            "fax_number": "510-625-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANK H. OGAWA PLAZA",
            "address_2": "SUITE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94612",
            "telephone_number": "510-763-6300",
            "fax_number": "510-625-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BURNS PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "510-763-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Center Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John Roderick Edwards, a Licensed Clinical Social Worker Corporation

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.