Active NPI
Burdett Dental, P.C.
- General Practice Dentistry
- Ogden, UT
National Provider Identifier
1346398518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 293245
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 293245 | UT | Primary |
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529657754001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Ogden, UT
- NPI 1083762249
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.