Organization Active NPI

Burdett Dental, P.C.

  • General Practice Dentistry
  • Ogden, UT
National Provider Identifier
1346398518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
293245 Issued in UT
Legal business name
BURDETT DENTAL, P.C.
Practice address
5640 Wasatch Dr
Suite D
Ogden, UT 84403-4902
Phone
(801) 475-0680
Fax
(801) 475-0685
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel S. Burdett, D.D.S.NPI 1083762249
Title
President
Phone
(801) 475-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 293245 UT Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 131585 UT

Addresses

Primary practice location

5640 Wasatch Dr
Suite D
Ogden, UT 84403-4902

Mailing address

5640 Wasatch Dr
Suite D
Ogden, UT 84403-4902
Phone (801) 475-0680

Other identifiers 1

IdentifierTypeStateIssuer
529657754001MedicaidUT

National Provider Directory

National Provider Directory

Locations

5331 Adams Avenue Pkwy
Ste C
Ogden, UT 84405
Phone (801) 475-0680

5640 Wasatch Dr
Ste D
Ogden, UT 84403
Phone (801) 475-0680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346398518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR",
            "address_2": "SUITE D",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034902",
            "telephone_number": "801-475-0680",
            "fax_number": "801-475-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 WASATCH DR",
            "address_2": "SUITE D",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034902",
            "telephone_number": "801-475-0680",
            "fax_number": "801-475-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDETT DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-475-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "293245",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "131585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529657754001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.