Theodore Burnett, DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

36342 Issued in CA

Legal business name

THEODORE BURNETT, DDS, INC

Practice address

8540 S Sepulveda Blvd
Suite 918
Los Angeles, CA 90045-3807

Phone

(310) 670-0379

Fax

(310) 670-0922

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Theodore Burnett, DDSNPI 1295976710

Title

Owner/Dentist

Phone

(310) 670-0379

Specialties & licenses 1

Addresses

Other names 1

• Los Angeles Dental Arts Doing business as

Locations

Practitioners 1

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

• Theodore Burnett, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1295976710
  NPD (past) Authorized official

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1508245192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 918",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-670-0379",
            "fax_number": "310-670-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 918",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-670-0379",
            "fax_number": "310-670-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE BURNETT, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-670-0379",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theingi Oo MD Inc
• Amelia Theisen
• Thelese Consulting Group
• Todd A Theman, M.D.
• Annapoorani Thenappan, M.D.,
• Theodore Roosevelt High School
• Peter S Theodore, PHD
• Karen Theophile, PA
• Nattapaun Natty Thepyasuwan, D.O.
• Beatris Ther Hacopian, MD

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.