Individual provider Active NPI

Pearl K Burns, DDS

  • General Practice Dentistry
  • Winter Springs, FL
National Provider Identifier
1396840435
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN00008331 Issued in FL
Practice address
5965 Red Bug Lake Rd Unit 233
Winter Springs, FL 32708-5080
Phone
(407) 696-7117
Fax
(407) 696-6488
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN00008331 FL Primary

Addresses

Primary practice location

5965 Red Bug Lake Rd Unit 233
Winter Springs, FL 32708-5080

Mailing address

5965 Red Bug Lake Rd Unit 233
Winter Springs, FL 32708-5080
Phone (407) 696-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807014045 FL Order and Referring Only - DentistPractitioner - Dentist 6204017460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN00008331FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl K Burns DDS PA General Practice Past Accepting new patients
Mary R. Isaacs, D.M.D., P.a. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396840435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 RED BUG LAKE RD UNIT 233",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085080",
            "telephone_number": "407-696-7117",
            "fax_number": "407-696-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 RED BUG LAKE RD UNIT 233",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085080",
            "telephone_number": "407-696-7117",
            "fax_number": "407-696-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "PEARL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN00008331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.