Individual provider Active NPI

Hayes K Burrow, DMD

  • Dentist
  • Atlanta, GA
National Provider Identifier
1053815233
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123269 Issued in GA
Practice address
3655 Peachtree Rd NE Unit 302
Atlanta, GA 30319-6102
Phone
(404) 713-8104
NPI assigned
Mar 21, 2018
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123269 GA Primary

Addresses

Primary practice location

3655 Peachtree Rd NE Unit 302
Atlanta, GA 30319-6102

Mailing address

3655 Peachtree Rd NE Unit 302
Atlanta, GA 30319-6102
Phone (404) 713-8104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180718001347 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618224932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN123269GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1053815233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 PEACHTREE RD NE UNIT 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303196102",
            "telephone_number": "404-713-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 PEACHTREE RD NE UNIT 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303196102",
            "telephone_number": "404-713-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROW",
        "first_name": "HAYES",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.