Jedediah T Burton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63930 Issued in CA

Practice address

640 E Princeton St
Ontario, CA 91764-1809

Phone

(801) 836-0928

NPI assigned

Sep 10, 2014

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1407257306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E PRINCETON ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641809",
            "telephone_number": "801-836-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E PRINCETON ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917641809",
            "telephone_number": "801-836-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JEDEDIAH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasira Burkholder-Cooley, DRPH, RD
• Crystal Patricia Burnett, M.A.
• John Burnett
• Rachelmarie Burrola
• Ebony Lee Burson
• Kelline Burton
• Stella Busche
• Ammanda Bush, M.S. BCBA
• Gilbert Alfort Bush, MEDICAL DOCTOR
• Bridget Bushong, SLP

• General Practice Dentistry in Ontario, CA
• Providers in Ontario, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.