Tara Burgess, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31201 Issued in TX

Practice address

205 Parking Way St
Lake Jackson, TX 77566-5226

Phone

(979) 297-1128

Fax

(979) 297-0956

NPI assigned

Jul 20, 2015

Sex

Female

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

Practice roles

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.

• All Smiles

  • Dental Clinic/Center
  • Lake Jackson, TX
  • NPI 1770829707
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1104200138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HEPBURN ST APT 309",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543217",
            "telephone_number": "281-636-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665226",
            "telephone_number": "979-297-1128",
            "fax_number": "979-297-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Bui
• Liem P Bui, M.D.
• Thuy-Khanh Ha Bui, D.O.
• David Lawerence Burger, MD
• Betty Burgess, LVN
• William E Burns Jr., M.D.
• Leah Lawan Burris
• Ambar R Bux, DO
• Brielle Byrd
• Jennifer Cain, M.A., LPC, LCDC

• Dentist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.