Organization Active NPI

Norma U. Burnley,D.D.S.,D.M.D.,LTD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1245442706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1022 Issued in NV
Legal business name
NORMA U. BURNLEY,D.D.S.,D.M.D.,LTD
Practice address
5140 S Eastern Ave
Las Vegas, NV 89119-2305
Phone
(702) 891-0079
Fax
(702) 891-0455
NPI assigned
May 4, 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. Norma Ubalde Burnley, D.D.S.,D.M.D.NPI 1457645780
Title
Owner
Phone
(702) 891-0079

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1022 NV Primary

Addresses

Primary practice location

5140 S Eastern Ave
Las Vegas, NV 89119-2305

Mailing address

5140 S Eastern Ave
Las Vegas, NV 89119-2305
Phone (702) 891-0079

Other identifiers 2

IdentifierTypeStateIssuer
885552OtherNVUNITED CONCORDIA PROVIDER
1022OtherNVSTATE DENTAL LICENSE NO.

Other names 1

  • Burnley Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

5140 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 891-0079

Practitioners & affiliated clinicians

Practitioners 1

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245442706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192305",
            "telephone_number": "702-891-0079",
            "fax_number": "702-891-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192305",
            "telephone_number": "702-891-0079",
            "fax_number": "702-891-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA U. BURNLEY,D.D.S.,D.M.D.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNLEY",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "UBALDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-891-0079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "885552",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE NO.",
            "identifier": "1022",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnley Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

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.