Danielle K Burgess, DDS, MS, MMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1858715 Issued in MA

Practice address

5618 Lemmon Ave
Dallas, TX 75209-1436

Phone

(214) 506-2969

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1225653553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752091436",
            "telephone_number": "954-501-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752091436",
            "telephone_number": "214-506-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Main St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Buzzards Bay",
            "state": "MA",
            "postal_code": "025323253",
            "country_code": "US",
            "telephone_number": "508-375-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "DANIELLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858715",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "40245",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1858715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Wylie Burge, DPM
• Carly Burger, PSYD
• Kenneth A. Burger, PNP
• Melissa Anne Burger, MD
• Rachelle Kieffer Burger, OTR
• Delores Mae Burgess, NURSE PRACTITIONER
• Haley Nicole Burgess, MA, LPC
• Howard Raymond Burgess, MS
• Katy Wright Burgess, PA
• Madeleine Burgess, LPC

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.