Stephanie Burrell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000007620 Issued in TN

Practice address

Base National Capital Region Clinic-Uscg Headquarters
2703 Martin Luther King Jr Ave SE Stop 7118
Washington, DC 20593-7118

Phone

(202) 475-5175

NPI assigned

May 23, 2016

Last updated

May 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1508213257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BASE NATIONAL CAPITAL REGION CLINIC-USCG HEADQUARTERS",
            "address_2": "2703 MARTIN LUTHER KING JR AVE SE STOP 7118",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205937118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASE NATIONAL CAPITAL REGION CLINIC-USCG HEADQUARTERS",
            "address_2": "2703 MARTIN LUTHER KING JR AVE SE STOP 7118",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205937118",
            "telephone_number": "202-475-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000007620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heyward Burrell Jr., DDS
• Janay Burrell
• Jasmine Victoria Burrell, MSW, LGSW
• Michelle Denise Burrell, HHA
• Sabrina Whitney Burrell, LGSW
• Latarsha Dominque Burrello
• Alfred C Burris, M.D.
• Cameron Alexander Burris, MD
• Caroline Conlan Burris, MD
• Christopher Keith Burris, M.D.

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.