NPIMap

Organization Active NPI

David Burrichter, DDS, PLLC

  • General Practice Dentistry
  • Montevideo, MN
National Provider Identifier
1154972503
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID BURRICHTER, DDS, PLLC
Practice address
209 South 1St Street
Montevideo, MN 56265-1412
Phone
(320) 269-6406
Fax
(320) 269-6408
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
David Jom Burrichter, DDSNPI 1255531133
Title
Dentist/Owner
Phone
(651) 270-5266

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

209 South 1St Street
Montevideo, MN 56265-1412

Mailing address

209 South 1St Street
Montevideo, MN 56265-1412
Phone (320) 269-6406

Other names 1

  • Main Street Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

209 S 1st St
Montevideo, MN 56265
Phone (320) 269-6406

Practitioners 5

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1154972503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SOUTH 1ST STREET",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651412",
            "telephone_number": "320-269-6406",
            "fax_number": "320-269-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SOUTH 1ST STREET",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651412",
            "telephone_number": "320-269-6406",
            "fax_number": "320-269-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BURRICHTER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "BURRICHTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "651-270-5266",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Street Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.