Organization Active NPI

Cassandra Burnett DDS, PA

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1497877310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13043 Issued in MD
Legal business name
CASSANDRA BURNETT DDS, PA
Practice address
1318 N Caroline St
Baltimore, MD 21213-2820
Phone
(410) 685-8753
Fax
(410) 685-1343
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cassandra Darice Burnett, DDSNPI 1629069125
Title
Owner
Phone
(410) 685-8753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13043 MD Primary

Addresses

Primary practice location

1318 N Caroline St
Baltimore, MD 21213-2820

Mailing address

1318 N Caroline St
Baltimore, MD 21213-2820
Phone (410) 685-8753

National Provider Directory

National Provider Directory

Locations

1318 N Caroline St
Baltimore, MD 21213
Phone (410) 685-8753

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497877310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132820",
            "telephone_number": "410-685-8753",
            "fax_number": "410-685-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132820",
            "telephone_number": "410-685-8753",
            "fax_number": "410-685-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA BURNETT DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "DARICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-685-8753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.