NPIMap

Organization Active NPI

Burgess Dental

  • General Practice Dentistry
  • Charleston, WV
National Provider Identifier
1285123471
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1038-9730 Issued in WV
Legal business name
BURGESS DENTAL
Practice address
405 Capitol Street
The Parlor Suite
Charleston, WV 25301
Phone
(304) 550-8181
Fax
(304) 346-4842
NPI assigned
May 3, 2018
Last updated
May 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Dr. John Patrick Burgess, DDSNPI 1568470680
Title
Owner
Phone
(304) 346-4820

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
General Practice Dentistry 1223G0001X 1038-9730 WV Primary

Addresses

Primary practice location

405 Capitol Street
The Parlor Suite
Charleston, WV 25301

Mailing address

405 Capitol Street
The Parlor Suite
Charleston, WV 25301
Phone (304) 550-8181

Other names 1

  • John P Burgess dds Other name

National Provider Directory

National Provider Directory

Locations

405 Capitol St
Ste Parlor
Charleston, WV 25301
Phone (304) 346-4820

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1285123471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CAPITOL STREET",
            "address_2": "THE PARLOR SUITE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-550-8181",
            "fax_number": "304-346-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CAPITOL STREET",
            "address_2": "THE PARLOR SUITE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-550-8181",
            "fax_number": "304-346-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-346-4820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "1038-9730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John P Burgess dds",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "John P Burgess dds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.