Individual provider Active NPI

Kesha L. Burns, DDS

  • Dentist
  • Murfreesboro, TN
National Provider Identifier
1497908875
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2008032996 Issued in MO
Practice address
513 N Thompson LN
Murfreesboro, TN 37129-4313
Phone
(615) 439-1949
Fax
(615) 439-1950
NPI assigned
Oct 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9887 TN
Dentist 122300000X 2008032996 MO Primary

Addresses

Primary practice location

513 N Thompson LN
Murfreesboro, TN 37129-4313

Mailing address

513 N Thompson LN
Murfreesboro, TN 37129-4313
Phone (615) 439-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002085 TN Order and Referring Only - Other (Non-Physician) 0941599328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008032996MOMDDentist
9887TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Smiles Family Dentistry CurrentSince May 28, 2023 Accepting new patients
Paul E. Honeycutt, DDS Past Accepting new patients

Locations

513 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 217-1414

Organizations & group practices 2

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": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1497908875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294313",
            "telephone_number": "615-439-1949",
            "fax_number": "615-439-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294313",
            "telephone_number": "615-439-1949",
            "fax_number": "615-439-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KESHA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9887",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008032996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.