Individual provider Active NPI

Afroz Burges, D.D.S.

  • Dentist
  • Pearland, TX
National Provider Identifier
1538460969
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
200550780 Issued in TX
Practice address
12234 Shadow Creek Pkwy BLDG 3
Pearland, TX 77584-7330
Phone
(713) 370-2889
Fax
(713) 340-2887
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 200550780 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy BLDG 3
Pearland, TX 77584-7330

Mailing address

12234 Shadow Creek Pkwy Ste 3108
Pearland, TX 77584-7332
Phone (713) 340-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201002279 TX Order and Referring Only - DentistPractitioner - Dentist 0345540076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
200550780TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1538460969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 3108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847332",
            "telephone_number": "713-340-2889",
            "fax_number": "713-340-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY BLDG 3",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-370-2889",
            "fax_number": "713-340-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGES",
        "first_name": "AFROZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "200550780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.