Dr. Shawn Burl, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. SHAWN BURL, INC.

Practice address

139 3Rd Ave W
Birmingham, AL 35204-4114

Phone

(205) 254-8555

NPI assigned

May 9, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Burl, DDS

Title

Owner

Phone

(205) 254-8555

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Y Burl, DDS

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1316164080
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1447815931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 3RD AVE W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352044114",
            "telephone_number": "205-254-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 3RD AVE W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352044114",
            "telephone_number": "205-254-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAWN BURL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BURL",
        "authorized_official_first_name": "DR. SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-254-8555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC",
            "identifier": "4077",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150802",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.