Organization Active NPI

Gary Burris DDS PC

  • Dentist
  • Athens, TN
National Provider Identifier
1457738684
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0000002699 Issued in TN
Legal business name
GARY BURRIS DDS PC
Practice address
605 Congress Pkwy S
Athens, TN 37303-2259
Phone
(423) 745-2727
Fax
(423) 745-2751
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Gary Lee Burris, DDS
Title
Owner
Phone
(423) 745-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS0000002699 TN Primary

Addresses

Primary practice location

605 Congress Pkwy S
Athens, TN 37303-2259

Mailing address

PO Box 468
Athens, TN 37371-0468
Phone (423) 745-2727

National Provider Directory

National Provider Directory

Locations

605 Congress Pkwy S
Athens, TN 37303
Phone (423) 745-2727

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1457738684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373710468",
            "telephone_number": "423-745-2727",
            "fax_number": "423-745-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CONGRESS PKWY S",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032259",
            "telephone_number": "423-745-2727",
            "fax_number": "423-745-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BURRIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-745-2727",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000002699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.