Dennis Burrell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005647 Issued in WA

Practice address

4310 Bridgeport Way W
Suite D
University Place, WA 98466-4337

Phone

(253) 564-7645

Fax

(253) 566-3449

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By 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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Dennis Burrell DDS and Associates, PC

  • General Practice Dentistry
  • University Place, WA
  • NPI 1295817450
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447334636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C O 4441 PARADISE AVENUE WEST",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984661023",
            "telephone_number": "253-564-7645",
            "fax_number": "253-566-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 BRIDGEPORT WAY W",
            "address_2": "SUITE D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664337",
            "telephone_number": "253-564-7645",
            "fax_number": "253-566-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Matthew Burghardt, D.P.M.
• Jacquelyn Marie Burk, COTA/L
• Laurie Ann Burkhart, MPT
• Astara Sunrise Burlingame, RN LAC LMP RH
• Emily Burman
• Elise Burrell, NCTMB, LMP
• Melissa Bushnell
• Zoya Bustamante
• Cionne Butcher, LMT
• Butler Orthotics

• General Practice Dentistry in University Place, WA
• Providers in University Place, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.