Active NPI
Hans A. Burg, D.D.S.
- Endodontics
- Lynchburg, VA
National Provider Identifier
1245475896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401003461
- Practice address
- 3709 Old Forest Rd
Lynchburg, VA 24501-2341 - Phone
- (434) 385-7707
- NPI assigned
- Dec 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0401003461 | VA | Primary |
Addresses
Primary practice location
3709 Old Forest Rd
Lynchburg, VA 24501-2341
Mailing address
159 Wimbledon Way
Lynchburg, VA 24503-2151
Phone (434) 384-7690
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401003461 | VA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1245475896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 WIMBLEDON WAY",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032151",
"telephone_number": "434-384-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3709 OLD FOREST RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012341",
"telephone_number": "434-385-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURG",
"first_name": "HANS",
"middle_name": "A.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-11",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401003461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.