Joshua Joel Burnham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11349977-9922 Issued in UT

Practice address

957 S Hwy 89
Logan, UT 84321-5451

Phone

(714) 264-6250

NPI assigned

Jul 10, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1073165007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 W 3575 S",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843216342",
            "telephone_number": "714-264-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 S HWY 89",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215451",
            "telephone_number": "714-264-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "JOSHUA",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11349977-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Budge, OD
• Holly Budge
• Reed Bullen, M.D.
• Amy Bunting
• Craig Burdett, P.A.
• Crystal Anne Burtis, PHYSICIAN ASSISTANT
• Marci Kae Buttars, APRN
• Russell Jay Buttars, DPM
• Alan Buys
• BWL Family Holdings, LLC.

• General Practice Dentistry in Logan, UT
• Providers in Logan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.