Burnsville Orthodontic Associates PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12008 Issued in MN

Legal business name

BURNSVILLE ORTHODONTIC ASSOCIATES PLLC

Doing business as

Ekim Orthodontics

Practice address

625 E Nicollet Blvd
Suite 300
Burnsville, MN 55337-6734

Phone

(952) 435-0350

Fax

(952) 435-0325

NPI assigned

Sep 24, 2013

Last updated

Nov 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lilah Suzan Ekim, D.D.S., M.S.

Title

President

Phone

(952) 435-0350

Specialties & licenses 2

Addresses

Other names 1

• Ekim Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1144656059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "SUITE 300",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376734",
            "telephone_number": "952-435-0350",
            "fax_number": "952-435-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "SUITE 300",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376734",
            "telephone_number": "952-435-0350",
            "fax_number": "952-435-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSVILLE ORTHODONTIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "EKIM",
        "authorized_official_first_name": "LILAH",
        "authorized_official_middle_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-435-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12091",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "12008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ekim Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Burnsville Family Chiropractic
• Burnsville Family Physicians, P.a.
• Burnsville Surgery Center, P.a.
• Annie L Burton, MD
• Shanmeka Burton
• Chandra Jo Bushard, MA CCC SLP
• Andrea Bushaw, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.