Haley Burson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9659 Issued in KY

Practice address

4501 Louise Underwood Way
Louisville, KY 40216-3987

Phone

(502) 368-2348

Fax

(502) 371-9067

NPI assigned

Aug 12, 2015

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

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chicot Memorial Medical Center

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1235453192
  Medicare reassignment NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1265808349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LOUISE UNDERWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163987",
            "telephone_number": "502-368-2348",
            "fax_number": "502-371-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LOUISE UNDERWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163987",
            "telephone_number": "502-368-2348",
            "fax_number": "502-371-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSON",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur L Burrows, LSW, CCFC
• Tamika M Burrus, MD
• Jyoti B. Burruss, M.D.
• Bridget J Burshears, MD
• Valeryia Burshtein
• Galena Burstein, MPH
• Jonathan Burt, PHD
• Amber Burtch, DPT
• William S Burtnett, MD
• Burton Medical Associates PLLC

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.