Individual provider Active NPI

Jeffrey Eric Burstein, DDS

  • Dentist
  • Northville, MI
National Provider Identifier
1033162755
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13591 Issued in MI
Practice address
41074 Seven Mile Rd
Suite B
Northville, MI 48167
Phone
(248) 347-0707
Fax
(248) 305-9016
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13591 MI Primary

Addresses

Primary practice location

41074 Seven Mile Rd
Suite B
Northville, MI 48167

Mailing address

41074 Seven Mile Rd
Suite B
Northville, MI 48167
Phone (248) 347-0707

Other identifiers 1

IdentifierTypeStateIssuer
13591OtherMIDENTAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160708001004 MI Order and Referring Only - DentistPractitioner - Dentist 0840582052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13591MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033162755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41074 SEVEN MILE RD",
            "address_2": "SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48167",
            "telephone_number": "248-347-0707",
            "fax_number": "248-305-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41074 SEVEN MILE RD",
            "address_2": "SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48167",
            "telephone_number": "248-347-0707",
            "fax_number": "248-305-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "13591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.