Organization Active NPI

Burvant Family Dentistry LLC

  • Dental Clinic/Center
  • Covington, LA
National Provider Identifier
1073869046
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6172 Issued in LA
Legal business name
BURVANT FAMILY DENTISTRY LLC
Practice address
601 W 18TH Ave
Covington, LA 70433-3064
Phone
(985) 892-2403
NPI assigned
Jul 27, 2012
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Dr. Joel Embree Burvant, DDSNPI 1881989374
Title
Owner
Phone
(985) 892-2403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6172 LA Primary

Addresses

Primary practice location

601 W 18TH Ave
Covington, LA 70433-3064

Mailing address

601 W 18TH Ave
Covington, LA 70433-3064
Phone (985) 892-2403

National Provider Directory

National Provider Directory

Locations

601 W 18th Ave
Covington, LA 70433
Phone (985) 892-2403

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1073869046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 18TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333064",
            "telephone_number": "985-892-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 18TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333064",
            "telephone_number": "985-892-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURVANT FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "BURVANT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "EMBREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-892-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.