NPIMap

Organization Active NPI

Dean a Burnett DDS, Ms, PS

  • Endodontics
  • Bellevue, WA
National Provider Identifier
1154664613
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6916 Issued in WA
Legal business name
DEAN A BURNETT DDS, MS, PS
Practice address
1200 112TH Ave NE Ste C245
Bellevue, WA 98004-3747
Phone
(425) 641-3300
Fax
(425) 641-6781
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Dean A Burnett, DDS, MSNPI 1013980564
Title
Endodontist
Phone
(425) 641-3300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 6916 WA Primary

Addresses

Primary practice location

1200 112TH Ave NE Ste C245
Bellevue, WA 98004-3747

Mailing address

1200 112TH Ave NE Ste C245
Bellevue, WA 98004-3747
Phone (425) 641-3300

National Provider Directory

National Provider Directory

Locations

1200 112th Ave NE
Ste C245
Bellevue, WA 98004
Phone (425) 641-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1154664613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C245",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043747",
            "telephone_number": "425-641-3300",
            "fax_number": "425-641-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C245",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043747",
            "telephone_number": "425-641-3300",
            "fax_number": "425-641-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN A BURNETT DDS, MS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "425-641-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "6916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.