Active NPI
Dejuan Andrea Burns
- Customized Equipment (DME)
- Temple Hills, MD
National Provider Identifier
1013275445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457852600 | Other | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1013275445 | MD | MD | Prosthetic/Orthotic Supplier |
| MT0072902 | MD | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Customized Equipment (DME)
- Clinton, MD
- NPI 1609437656
-
- Prosthetic/Orthotic Supplier
- Temple Hills, MD
- NPI 1457852600
-
- Prosthetic/Orthotic Supplier
- Clinton, MD
- NPI 1154724094
-
- Prosthetic/Orthotic Supplier
- Temple Hills, MD
- NPI 1174998009
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.