Organization Active NPI

Burns Family Dentistry

  • Dentist
  • Noblesville, IN
National Provider Identifier
1386037612
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12007453A Issued in IN
Legal business name
BURNS FAMILY DENTISTRY
Practice address
128 Lakeview Dr
Noblesville, IN 46060-1307
Phone
(317) 773-4526
Fax
(317) 773-4572
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. David Edward Burns, DDSNPI 1811109341
Title
Owner/Dentist
Phone
(317) 773-4526

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12007453A IN Primary

Addresses

Primary practice location

128 Lakeview Dr
Noblesville, IN 46060-1307

Mailing address

128 Lakeview Dr
Noblesville, IN 46060-1307
Phone (317) 773-4526

Other identifiers 2

IdentifierTypeStateIssuer
100125410AMedicaidIN
200842660MedicaidIN

National Provider Directory

National Provider Directory

Locations

128 Lakeview Dr
Noblesville, IN 46060
Phone (317) 773-4526

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1386037612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601307",
            "telephone_number": "317-773-4526",
            "fax_number": "317-773-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LAKEVIEW DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601307",
            "telephone_number": "317-773-4526",
            "fax_number": "317-773-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "317-773-4526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007453A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125410A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200842660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.