Organization Active NPI

Jeffrey a. Burns D.M.D.

  • General Practice Dentistry
  • Vernon, CT
National Provider Identifier
1396944781
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7067 Issued in CT
Legal business name
JEFFREY A. BURNS D.M.D.
Practice address
933 Hartford Tpke
Vernon, CT 06066-4407
Phone
(860) 870-4410
Fax
(860) 870-2567
NPI assigned
Jul 16, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mr. Jeffrey A Burns, D.M.D.NPI 1255324125
Title
Owner
Phone
(860) 870-4410

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
General Practice Dentistry 1223G0001X 7067 CT Primary

Addresses

Primary practice location

933 Hartford Tpke
Vernon, CT 06066-4407

Mailing address

933 Hartford Tpke
Vernon, CT 06066-4407
Phone (860) 870-4410

Other identifiers 1

IdentifierTypeStateIssuer
020007067CT02OtherCTBLUE CROSS FEDERAL

National Provider Directory

National Provider Directory

Locations

933 Hartford Tpke
Vernon, CT 06066
Phone (860) 870-4410

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1396944781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664407",
            "telephone_number": "860-870-4410",
            "fax_number": "860-870-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664407",
            "telephone_number": "860-870-4410",
            "fax_number": "860-870-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. BURNS D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-870-4410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "020007067CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.