Troy R Burns, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AA853 Issued in AK

Practice address

203 S Santa Claus LN
North Pole, AK 99705-7704

Phone

(907) 490-4650

Fax

(907) 490-4653

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164569299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057704",
            "telephone_number": "907-490-4650",
            "fax_number": "907-490-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057704",
            "telephone_number": "907-490-4650",
            "fax_number": "907-490-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "TROY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "AA853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bingaman, RNFA
• Charles Edward Bowman
• Tenille Bradley
• Peter D Bryant, DPT
• Eric P Buetow, DDS
• Kelsea Anne Cannon, DPT
• Vance Canoy
• Jesse Daniel Carpenter
• Carr-Gottstein Foods Co
• Carr-Gottstein Foods Co

• All providers in North Pole, AK
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.