Active NPI
Vincent Burhop, DDS
- Dentist
- Granada Hills, CA
National Provider Identifier
1568871127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS106370
- Practice address
- 16850 San Fernando Mission Blvd
Granada Hills, CA 91344-4247 - Phone
- (818) 488-6068
- NPI assigned
- Aug 7, 2014
- Last updated
- Feb 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS106370 | CA | Primary |
Addresses
Primary practice location
16850 San Fernando Mission Blvd
Granada Hills, CA 91344-4247
Mailing address
2316 W Madison St
Chicago, IL 60612-2228
Phone (312) 491-0601
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS106370 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ash Dental PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1568871127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 W MADISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122228",
"telephone_number": "312-491-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 SAN FERNANDO MISSION BLVD",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444247",
"telephone_number": "818-488-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURHOP",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS106370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.