Individual provider Active NPI

Susan Burton, D.M.D

  • Dentist
  • Lexington, KY
National Provider Identifier
1215964820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4731 Issued in KY
Practice address
431 S Broadway Ste 112
Dr. Burtons Family Dentistry
Lexington, KY 40508-2955
Phone
(859) 255-6161
Fax
(859) 233-0524
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4731 KY Primary

Addresses

Primary practice location

431 S Broadway Ste 112
Dr. Burtons Family Dentistry
Lexington, KY 40508-2955

Mailing address

431 S Broadway Ste 112
Dr Susan Burtons Family Dentistry
Lexington, KY 40508-2955
Phone (859) 255-6161

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

State licenses

LicenseStateTypeSpecialty
4731KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215964820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S BROADWAY STE 112",
            "address_2": "DR SUSAN BURTONS FAMILY DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082955",
            "telephone_number": "859-255-6161",
            "fax_number": "859-233-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S BROADWAY STE 112",
            "address_2": "DR. BURTONS FAMILY DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082955",
            "telephone_number": "859-255-6161",
            "fax_number": "859-233-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • 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.