Organization Active NPI

Jeffrey R Burroughs DDS LLC

Doing business as Burroughs Endodontics

  • Endodontics
  • Overland Park, KS
National Provider Identifier
1114475324
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
61135 Issued in KS
Legal business name
JEFFREY R BURROUGHS DDS LLC
Doing business as
Burroughs Endodontics
Practice address
5525 W 119TH St Ste 215
Overland Park, KS 66209-3724
Phone
(816) 686-5601
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Jeffrey R Burroughs, DDS
Title
Owner
Phone
(816) 686-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 61135 KS Primary

Addresses

Primary practice location

5525 W 119TH St Ste 215
Overland Park, KS 66209-3724

Mailing address

5525 W 119TH St Ste 215
Overland Park, KS 66209-3724
Phone (816) 686-5601

Other names 1

  • Burroughs Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5525 W 119th St
Ste 215
Overland Park, KS 66209
Phone (816) 686-5601

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1114475324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 W 119TH ST STE 215",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093724",
            "telephone_number": "816-686-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 W 119TH ST STE 215",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093724",
            "telephone_number": "816-686-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R BURROUGHS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-686-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "61135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burroughs Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.