NPIMap

Organization Active NPI

Burns Dental Group LLC

  • General Practice Dentistry
  • Burns, OR
National Provider Identifier
1053489013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BURNS DENTAL GROUP LLC
Practice address
555 W Adams St
Burns, OR 97720-1408
Phone
(541) 573-7778
Fax
(541) 573-1191
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carolyn S Bauer
Title
Business Manager
Phone
(541) 573-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

555 W Adams St
Burns, OR 97720-1408

Mailing address

555 W Adams St
Burns, OR 97720-1408
Phone (541) 573-7778

Other identifiers 1

IdentifierTypeStateIssuer
298818MedicaidOR

National Provider Directory

National Provider Directory

Locations

555 W Adams St
Burns, OR 97720
Phone (541) 573-7702

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053489013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W ADAMS ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201408",
            "telephone_number": "541-573-7778",
            "fax_number": "541-573-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W ADAMS ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201408",
            "telephone_number": "541-573-7778",
            "fax_number": "541-573-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-573-7778",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298818",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burns, OR

Sources for this page

  • 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.