Bryan Road Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18991 Issued in TX

Legal business name

BRYAN ROAD DENTISTRY

Practice address

210 S Bryan Rd
Suite 4
Mission, TX 78572-6204

Phone

(956) 585-7677

Fax

(956) 585-7627

NPI assigned

Feb 14, 2017

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason A Burkett, D.D.S.

Title

Owner/Dentist

Phone

(956) 585-7677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1285173096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD",
            "address_2": "SUITE 4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726204",
            "telephone_number": "956-585-7677",
            "fax_number": "956-585-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD",
            "address_2": "SUITE 4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726204",
            "telephone_number": "956-585-7677",
            "fax_number": "956-585-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN ROAD DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "956-585-7677",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Brewster, RN, FNP
• Bridgepoint Therapy Services LLC
• Bright Therapy Solutions, LLC
• Sonia Alicia Briones, PTA
• Brooker LLC
• Bryan St Dental PLLC
• Shelley Lynn Bryant, MSN, NPC, WHC, ANP
• Lizzette Yohana Burger
• Sylvia M Bustamante, PA
• Fenold Byron

• General Practice Dentistry in Mission, TX
• Providers in Mission, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.