Individual provider Active NPI

David James Burnett, D.P.M.

  • Foot Surgery Podiatrist
  • Paola, KS
National Provider Identifier
1356358790
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
12-00312 Issued in KS
Practice address
2102 Baptiste Dr
Suite D
Paola, KS 66071-1314
Phone
(913) 557-0700
Fax
(866) 254-5538
NPI assigned
Aug 1, 2006
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 12-00312 KS Primary

Addresses

Primary practice location

2102 Baptiste Dr
Suite D
Paola, KS 66071-1314

Mailing address

2102 Baptiste Dr
Suite D
Paola, KS 66071-1314
Phone (913) 557-0700

Other identifiers 1

IdentifierTypeStateIssuer
4857030001OtherDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12-00312KSMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey T Roith Past Accepting new patients
Kansas City Podiatry Associates, PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1356358790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BAPTISTE DR",
            "address_2": "SUITE D",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-557-0700",
            "fax_number": "866-254-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BAPTISTE DR",
            "address_2": "SUITE D",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-557-0700",
            "fax_number": "866-254-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KS",
            "license": "12-00312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4857030001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.