Vishnu Vardhan-Reddy Burla, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901021894 Issued in MI

Practice address

33200 W 14 Mile Rd Ste 190
West Bloomfield, MI 48322-3570

Phone

(248) 847-3828

Fax

(248) 847-3829

NPI assigned

May 26, 2016

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 MI

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flossophy Plllc

  • Dental Clinic/Center
  • West Bloomfield, MI
  • NPI 1952937401
  NPD Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1063860302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 190",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223570",
            "telephone_number": "248-847-3828",
            "fax_number": "248-847-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 190",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223570",
            "telephone_number": "248-847-3828",
            "fax_number": "248-847-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLA",
        "first_name": "VISHNU",
        "middle_name": "VARDHAN-REDDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Isaiah Budaj, DC
• Theresa Lynn Budny, LMSW
• Jennifer Nicole Bueby, OTR/L
• Maria Theresa Bugelli
• Elizabeth Bulat, M.D.
• Olivia Jenai Burlison
• Eric Burmeister, PT, DPT.
• Sareta Marcile Burnett
• Lisa Burnette, LMT
• Melissa Burris

• Dentist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.