Jerry L. Burd, DDS, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12101 Issued in TX

Legal business name

JERRY L. BURD, DDS, INC.

Practice address

3555 Delaware St
Beaumont, TX 77706-3033

Phone

(409) 898-3388

Fax

(409) 898-2673

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry L. Burd, DDSNPI 1558575639

Title

President

Phone

(409) 898-3388

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry L. Burd, DDS

  • Periodontics
  • Beaumont, TX
  • NPI 1558575639
  NPD (past) Authorized official
• Maria F Fiocchi, D.D.S

  • Periodontics
  • Beaumont, TX
  • NPI 1679799548
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043424104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063033",
            "telephone_number": "409-898-3388",
            "fax_number": "409-898-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063033",
            "telephone_number": "409-898-3388",
            "fax_number": "409-898-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L. BURD, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-898-3388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "12101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jehanara Ahmed, M.D, P.a. (Beaumont Diabetes and Endocrinology, P.A.)
• Joe Lee Jenkins
• Tenay Jenkins
• Jennifer L Dorrell Ms LPC Inc
• Jerome F. Schrapps, M.D., PLLC
• Robert H. Jessen, M.D.
• Yalanda S Jessie, M.ED. LPC
• Amber Jewkes, NP
• Jill Grounds Cardiology PLLC
• Anna Marie Jilla, AUD, PHD

• Periodontics in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.