Individual provider Active NPI

Wendy C Burstein, DDS MS

  • Periodontics
  • Baltimore, MD
National Provider Identifier
1366475436
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12760 Issued in MD
Practice address
2 East Lee Street
Baltimore, MD 21202-6013
Phone
(410) 727-6190
Fax
(410) 659-0839
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12760 MD Primary

Addresses

Primary practice location

2 East Lee Street
Baltimore, MD 21202-6013

Mailing address

2 East Lee Street
Baltimore, MD 21202-6013
Phone (410) 727-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 3, 2019 through Apr 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara a. Lesco, D.D.S., P.a. Periodontics Past Accepting new patients
MC Donogh Dental Associates LLP Past Accepting new patients
Lifetime Dental Care of Maryland, Badger, P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1366475436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EAST LEE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026013",
            "telephone_number": "410-727-6190",
            "fax_number": "410-659-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EAST LEE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026013",
            "telephone_number": "410-727-6190",
            "fax_number": "410-659-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTEIN",
        "first_name": "WENDY",
        "middle_name": "C",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "12760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.