Individual provider Active NPI

Eric Burton, DDS

  • Dentist
  • Columbia, MO
National Provider Identifier
1578629606
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2003011293 Issued in MO
Practice address
1916 Devonshire Dr
Columbia, MO 65203-7035
Phone
(573) 999-0747
NPI assigned
Jan 1, 2007
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Dentist 122300000X 2003011293 MO Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2003011293 MO
Orofacial Pain Dentistry 1223X2210X 2003011293 MO

Addresses

Primary practice location

1916 Devonshire Dr
Columbia, MO 65203-7035

Mailing address

1916 Devonshire Dr
Columbia, MO 65203-7035
Phone (573) 999-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210920000733 MO Practitioner - Oral Surgery 1052658010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003011293MOMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Wellness Partners LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

1401 Forum Blvd
Ste 203
Columbia, MO 65203
Phone (573) 446-7181

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1578629606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 DEVONSHIRE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037035",
            "telephone_number": "573-999-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 DEVONSHIRE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037035",
            "telephone_number": "573-999-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2003011293",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2003011293",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "MO",
            "license": "2003011293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.