Individual provider Active NPI

Dejuan Andrea Burns

  • Customized Equipment (DME)
  • Temple Hills, MD
National Provider Identifier
1013275445
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Practice address
3737 Branch Ave Ste D14
Temple Hills, MD 20748-1405
Phone
(202) 802-3098
NPI assigned
Apr 23, 2012
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Prosthetist 224P00000X
Prosthetic/Orthotic Supplier 335E00000X 1013275445 MD
Personal Care Attendant 3747P1801X MT0072902 MD
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3737 Branch Ave Ste D14
Temple Hills, MD 20748-1405

Mailing address

6600 Horseshoe Rd
Clinton, MD 20735-2537

Other practice location 1

3611 Branch Ave
Temple Hills, MD 20748-1242
Phone (202) 246-3708

Other identifiers 1

IdentifierTypeStateIssuer
1457852600OtherNPI

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
1013275445MDMDProsthetic/Orthotic Supplier
MT0072902MDMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Salon Dejuan LLC Prosthetic/Orthotic Supplier Current Accepting new patients
Au Secours Customized Equipment Current Accepting new patients

Locations

3737 Branch Ave
Ste D14
Temple Hills, MD 20748
Phone (202) 802-3098

Organizations & group practices 4

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1013275445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 HORSESHOE RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 BRANCH AVE STE D14",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481405",
            "telephone_number": "202-802-3098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Branch Ave",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481242",
            "country_code": "US",
            "telephone_number": "202-246-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "DEJUAN",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "1013275445",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MD",
            "license": "MT0072902",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457852600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.