Burlingame Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0548881 Issued in NY

Legal business name

BURLINGAME ORTHODONTICS, PLLC

Practice address

220 Church Ave
Suite 2
Ballston Spa, NY 12020-3613

Phone

(518) 885-9473

Fax

(518) 885-1212

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michelle L Burlingame, D.M.D.,M.S.NPI 1073824223

Title

Owner

Phone

(518) 885-9473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michelle L Burlingame, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ballston Spa, NY
  • NPI 1073824223
  NPD (past) Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1407125578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHURCH AVE",
            "address_2": "SUITE 2",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203613",
            "telephone_number": "518-885-9473",
            "fax_number": "518-885-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHURCH AVE",
            "address_2": "SUITE 2",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203613",
            "telephone_number": "518-885-9473",
            "fax_number": "518-885-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "BURLINGAME",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-885-9473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0548881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Bozzo
• Kaitlin Alyssa Brennan, SLP
• Olivia Brooks, LMSW
• Brooke Brown, LCSWR
• Brittany Ann Bryant, M.S., CCC-SLP
• Michelle L Burlingame, D.M.D., M.S.
• Mary Bussert
• Christine Campbell Callahan, PHD, MSW
• Chelsea Cangeleri, M.S.
• Capital District Respite, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.