Individual provider Active NPI

James L Burne Jr., DDS

  • Dentist
  • Sarasota, FL
National Provider Identifier
1356455513
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21030 Issued in FL
Practice address
5425 Fruitville Rd
Suite 16
Sarasota, FL 34232-6418
Phone
(941) 343-9777
Fax
(941) 343-0184
NPI assigned
Aug 17, 2006
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21030 FL Primary
General Practice Dentistry 1223G0001X DSO16349L PA

Addresses

Primary practice location

5425 Fruitville Rd
Suite 16
Sarasota, FL 34232-6418

Mailing address

100 Central Ave
Apt 714
Sarasota, FL 34236-5737
Phone (570) 885-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125001363 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193028223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21030FLMDDentist
DSO16349LPAMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1356455513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL AVE",
            "address_2": "APT 714",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365737",
            "telephone_number": "570-885-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 FRUITVILLE RD",
            "address_2": "SUITE 16",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326418",
            "telephone_number": "941-343-9777",
            "fax_number": "941-343-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNE",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21030",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO16349L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.