Organization Active NPI

Bonnie L Burton DDS PLLC

  • Exclusive Provider Organization
  • Lawton, OK
National Provider Identifier
1326213885
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
4098 Issued in OK
Legal business name
BONNIE L BURTON DDS PLLC
Practice address
1320 NW Homestead Dr
Suite I
Lawton, OK 73505-5288
Phone
(580) 536-2662
Fax
(580) 536-2226
NPI assigned
Apr 25, 2008
Last updated
Apr 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Dr. Bonnie L Burton, DDS
Title
Owner
Phone
(580) 536-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 4098 OK Primary

Addresses

Primary practice location

1320 NW Homestead Dr
Suite I
Lawton, OK 73505-5288

Mailing address

1320 NW Homestead
Suite I
Lawton, OK 73505-4202
Phone (580) 536-2662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1326213885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD",
            "address_2": "SUITE I",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054202",
            "telephone_number": "580-536-2662",
            "fax_number": "580-536-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD DR",
            "address_2": "SUITE I",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055288",
            "telephone_number": "580-536-2662",
            "fax_number": "580-536-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE L BURTON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-536-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "4098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.