NPIMap

Organization Active NPI

Alvis Burris Cosmetic and Family Dentistry LLC

  • Dentist
  • Camden, DE
National Provider Identifier
1144365271
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1179 Issued in DE
Legal business name
ALVIS BURRIS COSMETIC AND FAMILY DENTISTRY LLC
Practice address
199 South Street
Camden, DE 19934
Phone
(302) 697-3125
Fax
(302) 697-3640
NPI assigned
Feb 20, 2007
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Dr. Alvis Duane Burris, DMDNPI 1881671493
Title
Owner
Phone
(302) 697-3125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 949 DE
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 1179 DE Primary

Addresses

Primary practice location

199 South Street
Camden, DE 19934

Mailing address

199 South Street
Camden, DE 19934
Phone (302) 697-3125

Other names 1

  • Camden Dentistry LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

199 South St
Camden, DE 19934
Phone (302) 697-3125

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1144365271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SOUTH STREET",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "19934",
            "telephone_number": "302-697-3125",
            "fax_number": "302-697-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SOUTH STREET",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "19934",
            "telephone_number": "302-697-3125",
            "fax_number": "302-697-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIS BURRIS COSMETIC AND FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "ALVIS",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-697-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "DE",
            "license": "949",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "DE",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Dentistry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Camden, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.