Individual provider Active NPI

Marian Burgard, DMD

  • General Practice Dentistry
  • Fairport, NY
National Provider Identifier
1447873336
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062091 Issued in NY
Practice address
83 S Main St
Fairport, NY 14450-2161
Phone
(525) 223-9323
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 062091 NY Primary

Addresses

Primary practice location

83 S Main St
Fairport, NY 14450-2161

Mailing address

539 Long Pond Rd
Rochester, NY 14612-3073
Phone (585) 621-2040

Other practice location 1

539 Long Pond Rd
Rochester, NY 14612-3073
Phone (585) 621-2040

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

LicenseStateTypeSpecialty
062091NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Burgard Dental PLLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

83 S Main St
Fairport, NY 14450
Phone (585) 223-9323

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1447873336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123073",
            "telephone_number": "585-621-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502161",
            "telephone_number": "525-223-9323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146123073",
            "country_code": "US",
            "telephone_number": "585-621-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGARD",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.