Active NPI
Alicia Grambeau Burton, DDS
- Dentist
- Medical Lake, WA
National Provider Identifier
1104171214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D4443
- Practice address
- 47 E Highway 902
Medical Lake, WA 99022-5127 - Phone
- (509) 260-2650
- NPI assigned
- Jul 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D4443 | ID | Primary |
Addresses
Primary practice location
47 E Highway 902
Medical Lake, WA 99022-5127
Mailing address
47 E Highway 902
Medical Lake, WA 99022-5127
Phone (509) 260-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504001476 | WA | Order and Referring Only - Dentist | 9032418579 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4443 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alicia Burton DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Medical Lake, WA
- NPI 1417462227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1104171214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 E HIGHWAY 902",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990225127",
"telephone_number": "509-260-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 E HIGHWAY 902",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990225127",
"telephone_number": "509-260-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "ALICIA",
"middle_name": "GRAMBEAU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D4443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medical Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.