Active NPI
Erin Lynn Burdick, EPDH
- Dental Hygienist
- Albany, OR
National Provider Identifier
1174081996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 717 Geary St SE Ste 102
Albany, OR 97321-4822 - Phone
- (541) 924-1086
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
717 Geary St SE Ste 102
Albany, OR 97321-4822
Mailing address
717 Geary St SE Ste 102
Albany, OR 97321-4822
Phone (541) 924-1086
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | burdicke@interdent.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1174081996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 GEARY ST SE STE 102",
"city": "ALBANY",
"state": "OR",
"postal_code": "973214822",
"telephone_number": "541-924-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 GEARY ST SE STE 102",
"city": "ALBANY",
"state": "OR",
"postal_code": "973214822",
"telephone_number": "541-924-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "ERIN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "EPDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "burdicke@interdent.com",
"affiliation": "N",
"endpointDescription": "encrypted work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "717 Geary St SE Ste 102",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973214822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.