Burleson Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BURLESON PEDIATRIC DENTISTRY

Practice address

1161 SW Wilshire Blvd
Burleson, TX 76028-5707

Phone

(817) 447-7474

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Andrew M Jamison, D.D.S.

Title

Owner

Phone

(817) 447-7474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1114194834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD STE 110",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285708",
            "telephone_number": "817-447-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285707",
            "telephone_number": "817-447-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-447-7474",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burleson Family Medical Center, P.a.
• Burleson Independent School District
• Burleson Moders Dentistry, PC
• Burleson Nursing & Rehab Center, Inc
• Burleson Pediatric Dental Center LLC
• Burleson Pharmacy LLC
• Burleson Pharmacy LLC
• Austin R Burnett, FNP-C
• Bryan Lynn Butler, LPC, LCDC
• Anthony Caballero

• Pediatric Dentistry in Burleson, TX
• Providers in Burleson, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.