Burst Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BURST DENTAL PLLC

Practice address

2630 N Josey LN Ste 133
Carrollton, TX 75007-5542

Phone

(972) 798-2644

Fax

(972) 798-2641

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Ibrahim Houari, DDS

Title

Owner

Phone

(469) 438-1754

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jose Hernandez-Alvarado, DDS

  • Dentist
  • Carrollton, TX
  • NPI 1275238982
  NPD
• Danielle Ha Pham

  • Dentist
  • Carrollton, TX
  • NPI 1508552761
  NPD (past)

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1518679653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 N JOSEY LN STE 133",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 N JOSEY LN STE 133",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075542",
            "telephone_number": "972-798-2644",
            "fax_number": "972-798-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "HOUARI",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-438-1754",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Burke, M.S., CCC-SLP
• Sharon Stoorza Burley
• Rahul Burman
• Janna Eloise Burnett, DDS
• Will Burns
• Buthod Eye Care, PA
• Aaron Patrick Buthod, O.D.
• Jane Buthod, O.D.
• Shelly Dionne Butler, LPC
• Jannet Bux

• Dentist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.