Larry Winston Burgess, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16131 Issued in TX

Practice address

10700 Kuykendahl Rd Ste E
The Woodlands, TX 77381

Phone

(281) 367-5900

Fax

(281) 292-4370

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 13, 2016 through Sep 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Larry W Burgess DDS

  • General Practice Dentistry
  • The Woodlands, TX
  • NPI 1841831435
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164648267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S MILL TRACE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813845",
            "telephone_number": "281-362-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 KUYKENDAHL RD STE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-367-5900",
            "fax_number": "281-292-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "LARRY",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vy Bui, DMD
• Janis Buice, MA CCC-SLP
• Amy C Bumgardner, MD
• Christy Edwards Bunn, LPC-A
• Caryssa Chantille Burckart, PA-C
• Alexander Joseph Buriak, DC
• Henry Leroy Burkholder IV, M.D.
• Ashley Lauren Burks, LPC-ASSOCIATE
• Alexandra Grace Burleson, LPC
• Rebecca Burnett-Khan

• General Practice Dentistry in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.