Active NPI
Kevin Burns, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D011768
- Practice address
- 7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284 - Phone
- (480) 279-3113
- NPI assigned
- Aug 10, 2012
- Last updated
- Jul 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8357668-9921 | UT | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D011768 | AZ | Primary |
Addresses
Primary practice location
7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284
Mailing address
7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284
Phone (480) 279-3113
Other practice location 1
1325 W 16th St Ste 3
Yuma, AZ 85364-4496
Phone (928) 329-6447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8357668-9921 | UT | MD | Dentist |
| D011768 | AZ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilbert Sonoma Oral Surgery, P.C. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Yuma Regional Medical Center | Past | Accepting new patients | |
| Sonoma Oral & Facial Surgery, PLLC | Past | Accepting new patients | |
| Advanced Implant and Oral Surgery | Past | Accepting new patients |
Locations
7400 S Power Rd
Ste 136
Gilbert, AZ 85297
Phone (480) 279-3111
Organizations & group practices 4
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Gilbert, AZ
- NPI 1083369334
-
dba Sonoma Oral and Facial Surgery of Yuma
- Oral & Maxillofacial Surgery (D.M.D.)
- Yuma, AZ
- NPI 1942703657
-
- Oral and Maxillofacial Surgery Clinic/Center
- Gilbert, AZ
- NPI 1477063881
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1538416359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 S POWER RD STE 136",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852979284",
"telephone_number": "480-279-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 S POWER RD STE 136",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852979284",
"telephone_number": "480-279-3113"
}
],
"practiceLocations": [
{
"address_1": "1325 W 16th St Ste 3",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853644496",
"country_code": "US",
"telephone_number": "928-329-6447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "8357668-9921",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AZ",
"license": "D011768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.