Individual provider Active NPI

Alexander Burau, D.M.D.

  • Dentist
  • Dowagiac, MI
National Provider Identifier
1124558291
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29001022283 Issued in MI
Practice address
530 Riverside Dr
Dowagiac, MI 49047-2101
Phone
(269) 782-5161
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29001022283 MI Primary

Addresses

Primary practice location

530 Riverside Dr
Dowagiac, MI 49047-2101

Mailing address

6051 Brookstone LN
Grand Blanc, MI 48439-9432
Phone (810) 516-4395

Other practice location 1

240 E Grand Blanc Rd
Grand Blanc, MI 48439-1304
Phone (810) 694-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818000984 MI Order and Referring Only - DentistPractitioner - Dentist 8527330075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29001022283MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Burau PC Dentist Past Accepting new patients
Dowagiac Family Dentistry, PC PastSince Jul 24, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124558291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 BROOKSTONE LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399432",
            "telephone_number": "810-516-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 RIVERSIDE DR",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490472101",
            "telephone_number": "269-782-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 E Grand Blanc Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391304",
            "country_code": "US",
            "telephone_number": "810-694-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURAU",
        "first_name": "ALEXANDER",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "29001022283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

Verify at the official NPI Registry.