Terry J Burpo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE015996 Issued in MO

Practice address

204 N Commerce
Crane, MO 65633

Phone

(417) 723-1723

Fax

(417) 723-8540

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063521730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "address_2": "204 N COMMERCE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "65633",
            "telephone_number": "417-723-1723",
            "fax_number": "417-723-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N COMMERCE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "65633",
            "telephone_number": "417-723-1723",
            "fax_number": "417-723-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURPO",
        "first_name": "TERRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "DE015996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane M. Balek, COTA/L
• Darlene Benton, PTA
• Angela Dawn Boyd, PTA
• Tammy Jo Brazeal, PH.D.
• John Edgar Burnett Jr., M.P.T.
• Lori Conner, PTA
• Cox-Monett Hospital Inc (Coxhealth Center Crane)
• Bradley Jason Deans, COTA/L
• Cori Dykes, PHARMD
• Amy D. Gardner, FNP-C

• Dentist in Crane, MO
• Providers in Crane, MO by specialty
• Dentist in Missouri

• 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.