Elizabeth Johnson Burns, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15228 Issued in MO

Practice address

1455 Triad Center Dr
Suite a
Saint Peters, MO 63376-7359

Phone

(636) 928-5550

Fax

(636) 928-8433

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jack W. Haney, D.D.S., P.C.

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1316579113
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386658185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 TRIAD CENTER DR",
            "address_2": "SUITE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767359",
            "telephone_number": "636-928-5550",
            "fax_number": "636-928-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 TRIAD CENTER DR",
            "address_2": "SUITE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767359",
            "telephone_number": "636-928-5550",
            "fax_number": "636-928-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ELIZABETH",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Burks, D.C.
• Amanda Burley, MED, BCBA, LBA
• Lauren Burmester, M.A. BCBA, LBA
• Laura Elizabeth Burnell, LPC
• David Russell Burney Jr.
• Kimberly Burns, LCSW
• Eric Dante Bureros Buscato, PT
• Diane Buschkoetter
• Joseph Graham Buse, PHARMD
• Gabrielle Bush, RN, MSN

• General Practice Dentistry in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.