Active NPI
Steven J Burt, DDS
- Dentist
- Rawlins, WY
National Provider Identifier
1457573560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1211
- Practice address
- 2900 S Higley Blvd
Rawlins, WY 82301 - Phone
- (307) 328-1441
- Fax
- (307) 328-7464
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1211 | WY | Primary |
Addresses
Primary practice location
2900 S Higley Blvd
Rawlins, WY 82301
Mailing address
165 Seminole Dr
Evanston, WY 82930-6601
Phone (307) 677-2709
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1211 | WY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1457573560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SEMINOLE DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829306601",
"telephone_number": "307-677-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S HIGLEY BLVD",
"city": "RAWLINS",
"state": "WY",
"postal_code": "82301",
"telephone_number": "307-328-1441",
"fax_number": "307-328-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2024-11-05",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rawlins, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.