Individual provider Active NPI

Andrew David Burnham, DMD, MDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hattiesburg, MS
National Provider Identifier
1518655679
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
112735 Issued in MS
Practice address
4348 Lincoln Road Ext
Hattiesburg, MS 39402-3256
Phone
(601) 261-5552
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 112735 MS Primary

Addresses

Primary practice location

4348 Lincoln Road Ext
Hattiesburg, MS 39402-3256

Mailing address

4348 Lincoln Road Ext
Hattiesburg, MS 39402-3256
Phone (601) 261-5552

Other practice location 1

35 Beech Ln
Petal, MS 39465-9457
Phone (601) 305-9955

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1518655679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 LINCOLN ROAD EXT",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023256",
            "telephone_number": "601-261-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 LINCOLN ROAD EXT",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023256",
            "telephone_number": "601-261-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Beech Ln",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394659457",
            "country_code": "US",
            "telephone_number": "601-305-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "112735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.