Burnett DDS Oral & Facial Surgery Center of Joplin, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2005005794 Issued in MO

Legal business name

BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C.

Doing business as

Oral & Facial Surgery Center of Joplin

Practice address

620 W 32ND St
Joplin, MO 64804

Phone

(417) 621-0500

Fax

(417) 781-5809

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Bradley R Burnett, DDSNPI 1174683254

Title

President

Phone

(417) 621-0500

Specialties & licenses 6

Addresses

Other names 1

• Oral & Facial Surgery Center of Joplin Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Robert Burnett, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Joplin, MO
  • NPI 1174683254
  Authorized official Same address or phone

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1376592949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-621-0500",
            "fax_number": "417-781-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-621-0500",
            "fax_number": "417-781-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-621-0500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "010761",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2005005794",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Facial Surgery Center of Joplin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Jane Burch
• Sarah E Burch, PLP
• Julie A Burd, CRNA
• Thomas B. Burkhardt, M.D.
• Sondra J Burleson, CNM
• Bradley Robert Burnett, DDS
• John Robert Burnett, DDS
• Cameron D Burns, PHARMD
• Hannah E. Burnside, RDN, LD
• Maegan Elise Burr, FNP-C

• Oral and Maxillofacial Surgery (Dentist) in Joplin, MO
• Providers in Joplin, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.