Kristen a Burris, D.D.S. L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4628 Issued in OK

Legal business name

KRISTEN A BURRIS, D.D.S. L.L.C.

Practice address

1515 South Main Street
Shattuck, OK 73858

Phone

(580) 938-2566

Fax

(580) 938-2567

NPI assigned

May 8, 2008

Last updated

May 8, 2008By 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

Dr. Kristen A Burris, D.D.S.NPI 1811073208

Title

Owner

Phone

(580) 938-2566

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kristen A Burris, D.D.S.

  • General Practice Dentistry
  • Shattuck, OK
  • NPI 1811073208
  NPD (past) Authorized official
• Jamie L Cameron, D.D.S.

  • Dentist
  • Shattuck, OK
  • NPI 1407050560
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1285801324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738580609",
            "telephone_number": "580-938-2566",
            "fax_number": "580-938-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SOUTH MAIN STREET",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "73858",
            "telephone_number": "580-938-2566",
            "fax_number": "580-938-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN A BURRIS, D.D.S. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-938-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foundation Health & Wellness Institute PC
• Gary A. Frederick, M.D.
• HCC of Shattuck, LLC
• John David Herber, R.PH., D.PH.
• Jennifer Hix
• Gary Willis Mitchell, D.PH.
• Merindy Grace Morgenson, MD
• Newman Medical Center Pharmacy Inc (Newman Medical Center Pharmacy)
• Newman Memorial Hospital, Inc
• Newman Memorial Hospital, Inc (Newman Healthcare Associates)

• General Practice Dentistry in Shattuck, OK
• Providers in Shattuck, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.