NPIMap

Organization Active NPI

Burton Advance Dental, P.C.

  • General Practice Dentistry
  • Burton, MI
National Provider Identifier
1386973931
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14588 Issued in MI
Legal business name
BURTON ADVANCE DENTAL, P.C.
Practice address
5492 Lapeer Rd
Burton, MI 48509-2235
Phone
(810) 742-6600
Fax
(810) 742-5075
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Thomas J. Nivison, D.D.S.
Title
President
Phone
(810) 742-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14588 MI Primary

Addresses

Primary practice location

5492 Lapeer Rd
Burton, MI 48509-2235

Mailing address

5492 Lapeer Rd
Burton, MI 48509-2235
Phone (810) 742-6600

National Provider Directory

National Provider Directory

Locations

5492 Lapeer Rd
Burton, MI 48509
Phone (810) 742-5428

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1386973931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5492 LAPEER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092235",
            "telephone_number": "810-742-6600",
            "fax_number": "810-742-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 LAPEER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092235",
            "telephone_number": "810-742-6600",
            "fax_number": "810-742-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON ADVANCE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "NIVISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-742-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.