Philip Alan Burgess, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22582 Issued in CA

Practice address

5731 La Jolla Blvd
La Jolla, CA 92037-7302

Phone

(858) 459-0229

Fax

(858) 459-8072

NPI assigned

May 8, 2007

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

Other identifiers 1

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.

• H. Kent Reed, DDS, a Professional Corp.

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1689814725
  NPD (past)
• Tran Murray Dental Corporation

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1063803112
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114130762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 LA JOLLA BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377302",
            "telephone_number": "858-459-0229",
            "fax_number": "858-459-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 LA JOLLA BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377302",
            "telephone_number": "858-459-0229",
            "fax_number": "858-459-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "PHILIP",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "573392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisha J Bunke, MD
• Kevin Dale Burchby, PSY.D.
• Adam Paul Burdick, MD
• Catherine Burgess, PT, DPT, OCS
• Joanna Cathleen Burgess, M.A., CCC-SLP
• Robert Franklin Burgess, PH.D.
• Ruth Burgher-Gibore, M.A., LMFT
• Jenny Kolesar Burke, MOT, OTR/L
• Lindsey Ann Burnett, PH.D., M.D.
• David B Burns, NP

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.