Judy R Burgess-Drain, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

840 S Oak Park Ave
Suite 214
Oak Park, IL 60304-1220

Phone

(708) 383-1234

Fax

(708) 383-3578

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Lawrence R. Fine D.D.S. and Assoicates, LTD.

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1134299860
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053481739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S OAK PARK AVE",
            "address_2": "SUITE 214",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041220",
            "telephone_number": "708-383-1234",
            "fax_number": "708-383-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S OAK PARK AVE",
            "address_2": "SUITE 214",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041220",
            "telephone_number": "708-383-1234",
            "fax_number": "708-383-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS-DRAIN",
        "first_name": "JUDY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie M Buen, DMD
• Jessica Bullock
• Keith Bullock, LCSW, CADC
• Emily Burau, LCSW
• Joseph M Burbick, DDS
• Nancy Goelzer Burgoyne, PH.D.
• Marie Kelleher Burke
• Rachel Renae Burkhart, RBT
• Rebecca Jean Burkhart, CRNA
• Nikisha S Burks, CADC

• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.