Active NPI
Keaton Burchfield
- General Practice Dentistry
- Alexandria, VA
National Provider Identifier
1407546641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401418877
- Practice address
- 7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843 - Phone
- (813) 777-6816
- NPI assigned
- May 10, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401418877 | VA | Primary |
Addresses
Primary practice location
7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843
Mailing address
5080 Grimm Dr
Alexandria, VA 22304-8629
Phone (813) 777-6816
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418877 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1407546641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 GRIMM DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223048629",
"telephone_number": "813-777-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7696 RICHMOND HWY STE D",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223062843",
"telephone_number": "813-777-6816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHFIELD",
"first_name": "KEATON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.