Active NPI
Glenn R Burns, D.D.S., F.A.G.D.
- General Practice Dentistry
- Lancaster, OH
National Provider Identifier
1295873586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 208 N Columbus St
Lancaster, OH 43130-3005 - Phone
- (740) 653-8671
- Fax
- (740) 653-8815
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | OH | Primary |
Addresses
Primary practice location
208 N Columbus St
Lancaster, OH 43130-3005
Mailing address
208 North Columbus Street
Lancaster, OH 43130
Phone (740) 653-8671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150508000896 | OH | Order and Referring Only - Dentist | 9537488838 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310987777 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295873586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 NORTH COLUMBUS STREET",
"city": "LANCASTER",
"state": "OH",
"postal_code": "43130",
"telephone_number": "740-653-8671",
"fax_number": "740-653-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N COLUMBUS ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303005",
"telephone_number": "740-653-8671",
"fax_number": "740-653-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "GLENN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S., F.A.G.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.