Gail Marie Burgess, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106899 Issued in CA

Practice address

435 4TH Ave
San Diego, CA 92101-6234

Phone

(619) 850-2550

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gail Marie Hoffman Former name

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.

• Downtown SD Modern Dentistry Dental Group

  • Dentist
  • San Diego, CA
  • NPI 1952771743
  NPD (past)

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1235806126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 G ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023224",
            "telephone_number": "256-665-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016234",
            "telephone_number": "619-850-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "GAIL",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "HOFFMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Shae Burger
• Nicole Burger
• Richard Michael Burger, D.C.
• Alana Burges
• Benjamin Nathaniel Burgess, MD
• Jennifer Burgess, NP
• Lloyd G Burgess, M.D.
• Malia Alys Burgess, PTA
• Margaret Lois Gurman Burgess, LCSW
• Matthew Daniel Burgess, MD

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.