Active NPI
Janet Lavon Burgess, RDHAP, BS
- Dental Hygienist
- El Centro, CA
National Provider Identifier
1407262389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP 494
- Practice address
- 1560 Pepper Dr
El Centro, CA 92243-4124 - Phone
- (760) 332-9253
- NPI assigned
- Jul 11, 2014
- Last updated
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HAP 494 | CA | Primary |
Addresses
Primary practice location
1560 Pepper Dr
El Centro, CA 92243-4124
Mailing address
2328 Bougainvillea TRL
Imperial, CA 92251-8965
Phone (760) 332-9253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAP 494 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1407262389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 BOUGAINVILLEA TRL",
"city": "IMPERIAL",
"state": "CA",
"postal_code": "922518965",
"telephone_number": "760-332-9253",
"fax_number": "760-370-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 PEPPER DR",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434124",
"telephone_number": "760-332-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JANET",
"middle_name": "LAVON",
"credential": "RDHAP, BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP 494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.