Active NPI
Alfred Burns, DDS
- Pediatric Dentistry
- Seguin, TX
National Provider Identifier
1508056755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 24186
- Practice address
- 901 S Hwy 123 Bypass
Seguin, TX 78155 - Phone
- (830) 372-3725
- Fax
- (830) 372-9970
- NPI assigned
- Jul 25, 2007
- Last updated
- Dec 11, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 24186 | TX | Primary |
Addresses
Primary practice location
901 S Hwy 123 Bypass
Seguin, TX 78155
Mailing address
PO Box 540
Seguin, TX 78156-0540
Phone (980) 372-3725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011819-02 | Medicaid | TX |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alligator Dental Cibolo, PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Alligator Dental | Pediatric Dentistry | Current | Accepting new patients |
| Alligator Dental Cibolo, PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Alligator Dental | Pediatric Dentistry | Past | Accepting new patients |
| Alligator Dental | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- San Marcos, TX
- NPI 1538408760
-
dba Alligator Dental Floresville
- Pediatric Dentistry
- Floresville, TX
- NPI 1316483704
-
- Pediatric Dentistry
- Cibolo, TX
- NPI 1780120964
-
- Pediatric Dentistry
- Seguin, TX
- NPI 1114156957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1508056755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781560540",
"telephone_number": "980-372-3725",
"fax_number": "830-372-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S HWY 123 BYPASS",
"city": "SEGUIN",
"state": "TX",
"postal_code": "78155",
"telephone_number": "830-372-3725",
"fax_number": "830-372-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ALFRED",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "24186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011819-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.