Active NPI
Joseph Bruce Burley, D.D.S.
- General Practice Dentistry
- Hagerstown, MD
National Provider Identifier
1346268182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9208
- Practice address
- 1115 Mount Aetna Road
Hagerstown, MD 21740 - Phone
- (301) 739-7003
- Fax
- (301) 739-7910
- NPI assigned
- Jul 18, 2006
- Last updated
- Jun 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9208 | MD | |
| General Practice Dentistry | 1223G0001X | 9208 | MD | Primary |
Addresses
Primary practice location
1115 Mount Aetna Road
Hagerstown, MD 21740
Mailing address
1115 Mount Aetna Road
Hagerstown, MD 21740
Phone (301) 739-7003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20150608002145 | MD | Order and Referring Only - Dentist | 8527389105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hagerstown Smiles Dental Care, PA | Current | Accepting new patients |
Locations
1115 Mount Aetna Rd
Hagerstown, MD 21740
Phone (301) 739-7003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Hagerstown, MD
- NPI 1154962579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1346268182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 MOUNT AETNA ROAD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-739-7003",
"fax_number": "301-739-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 MOUNT AETNA ROAD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-739-7003",
"fax_number": "301-739-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLEY",
"first_name": "JOSEPH",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "9208",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "9208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.