Juckapong Dieter Burr, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19285 Issued in FL

Practice address

4388 Thomasson Dr
Naples, FL 34112-6767

Phone

(239) 417-1553

NPI assigned

Mar 22, 2011

Last updated

Jun 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1417256090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 THOMASSON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126767",
            "telephone_number": "239-417-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 THOMASSON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126767",
            "telephone_number": "239-417-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURR",
        "first_name": "JUCKAPONG",
        "middle_name": "DIETER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalvonne Renee Burns, MA, CCC-SLP
• Kathleen Elizabeth Burns, MSPT
• Kimberly D Burns, M.S., CCC-SLP
• Madeline Brenna Burns, PHARMD
• Maureen Burns
• Bonnie Jean Burroughs, COTA
• Jean F Burton, MD
• Joshua Mathew Burton
• Linda Burton, LMHC
• Kristina Stacey Buscaino, D.O.

• General Practice Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.