Individual provider Active NPI

Judith Marie Burnheimer, D.D.S.

  • General Practice Dentistry
  • Rye, NY
National Provider Identifier
1447462882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035868 Issued in NY
Practice address
5 Blind Brook LN
Rye, NY 10580-2021
Phone
(914) 967-6822
NPI assigned
May 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 035868 NY Primary

Addresses

Primary practice location

5 Blind Brook LN
Rye, NY 10580-2021

Mailing address

5 Blind Brook LN
Rye, NY 10580-2021
Phone (914) 967-6822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150308000004 NY Order and Referring Only - Other (Non-Physician) 0143546200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447462882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLIND BROOK LN",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802021",
            "telephone_number": "914-967-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BLIND BROOK LN",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802021",
            "telephone_number": "914-967-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHEIMER",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.