Organization Active NPI

Burtis Speech-Language Center, Inc

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1487089975
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BURTIS SPEECH-LANGUAGE CENTER, INC
Practice address
5925 Forest LN
Ste 136
Dallas, TX 75230-2712
Phone
(972) 661-5157
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Ms. Mary Irene Burtis, M.S.CCC-SLP
Title
Owner
Phone
(972) 661-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5925 Forest LN
Ste 136
Dallas, TX 75230-2712

Mailing address

5925 Forest LN
Ste 136
Dallas, TX 75230-2712
Phone (972) 661-5157

National Provider Directory

National Provider Directory

Locations

5925 Forest Ln
Ste 136
Dallas, TX 75230
Phone (972) 661-5157

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1487089975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "STE 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-661-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "STE 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-661-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTIS SPEECH-LANGUAGE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "BURTIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-661-5157",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.