Active NPI
Joseph Burns, A.T.C., M.S.ED,
- Prevention Professional
- Aberdeen, SD
National Provider Identifier
1093251258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 0461
- Practice address
- 2905 3Rd Ave SE
Aberdeen, SD 57401-5420 - Phone
- (605) 626-7733
- NPI assigned
- Jan 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 0461 | SD | Primary |
Addresses
Primary practice location
2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Mailing address
307 11TH Ave NW
#206
Aberdeen, SD 57401-2323
Phone (701) 833-9556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0461 | SD | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1093251258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 11TH AVE NW",
"address_2": "#206",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574012323",
"telephone_number": "701-833-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 3RD AVE SE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574015420",
"telephone_number": "605-626-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "A.T.C., M.S.ED,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "SD",
"license": "0461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.