NPIMap

Organization Active NPI

Alan Burge DDS

  • General Practice Dentistry
  • Pekin, IL
National Provider Identifier
1184754137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
195532 Issued in IL
Legal business name
ALAN BURGE DDS
Practice address
3218 Court St
Pekin, IL 61554-6209
Phone
(309) 347-8590
Fax
(309) 347-8612
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Jeffrey Burge, DDSNPI 1184649485
Title
President
Phone
(309) 347-8590

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 195532 IL Primary

Addresses

Primary practice location

3218 Court St
Pekin, IL 61554-6209

Mailing address

3218 Court St
Pekin, IL 61554-6209
Phone (309) 347-8590

National Provider Directory

National Provider Directory

Locations

3218 Court St
Pekin, IL 61554
Phone (309) 347-8590

Practitioners & affiliated clinicians

Practitioners 2

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184754137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546209",
            "telephone_number": "309-347-8590",
            "fax_number": "309-347-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546209",
            "telephone_number": "309-347-8590",
            "fax_number": "309-347-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BURGE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-347-8590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "195532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.