Individual provider Active NPI

James D. Burleson, D.D.S.

  • Dentist
  • Cabot, AR
National Provider Identifier
1124032958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2045 Issued in AR
Practice address
3284 Highway 367 S
Cabot, AR 72023-7444
Phone
(501) 843-5808
Fax
(501) 941-3572
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2045ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Family Dentistry, PLLC Past Accepting new patients
Burleson Family Dentistry Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2045 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

3284 Highway 367 S
Cabot, AR 72023-7444

Mailing address

3284 Highway 367 S
Cabot, AR 72023-7444
Phone (501) 843-5808

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124032958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 HIGHWAY 367 S",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237444",
            "telephone_number": "501-843-5808",
            "fax_number": "501-941-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 HIGHWAY 367 S",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237444",
            "telephone_number": "501-843-5808",
            "fax_number": "501-941-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • 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.