Daniel A Burns, D.D.S., MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

01048765A Issued in IN

Practice address

3807 S Main St
Elkhart, IN 46517-3510

Phone

(574) 875-0547

Fax

(574) 875-0548

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1174675912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 S MAIN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173510",
            "telephone_number": "574-875-0547",
            "fax_number": "574-875-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 S MAIN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173510",
            "telephone_number": "574-875-0547",
            "fax_number": "574-875-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "D.D.S., MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009601A",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IN",
            "license": "01048765A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Buehler
• Affie Ann Bullock
• Tammika Burks
• Garrett Burleson, RBT
• Carmen June Burlingame, MSW
• Jerica Burns, LMHC
• Richard D. Burns Jr., DDS., MSD
• Megan Alexandra Meier Burson
• Ray Travis Burton, COTA
• Callie Maria Bushong

• Oral & Maxillofacial Surgery (D.M.D.) in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.