Jeffrey Evan Burzin, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DENTALLICENSE#007716 Issued in CT

Practice address

248 E Main St
Clinton, CT 06413-2230

Phone

(860) 669-1611

Fax

(860) 669-4525

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Child & Adult Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clinton, CT
  • NPI 1033282306
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184786907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 E MAIN STREET",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-669-1616",
            "fax_number": "860-669-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132230",
            "telephone_number": "860-669-1611",
            "fax_number": "860-669-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURZIN",
        "first_name": "JEFFREY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "DENTALLICENSE#007716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Henrietta Barrett, MD
• Andrew Mark Berliner, DPM
• Deborah Anne Blair, RN
• Blueprint Wellness International LLC
• Brian K. Sawchuk, D.D.S. and David J. Sliva, D.M.D., L.L. C.
• Scott Cameron, PT
• Desiree Caporaso, LCSW
• Stephanie Rilyn Carey, DCM
• Kenneth Spencer Carlough, DMD
• Carolyn B Carroll, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Clinton, CT
• Providers in Clinton, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• 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.