NPIMap

Organization Active NPI

Burnham & Gagliardo, P.L.L.C.

  • General Practice Dentistry
  • Bettendorf, IA
National Provider Identifier
1578769295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06227 Issued in IA
Legal business name
BURNHAM & GAGLIARDO, P.L.L.C.
Practice address
2820 Aaa CT
Bettendorf, IA 52722-6752
Phone
(563) 449-9055
Fax
(563) 449-9056
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kyle D Gagliardo, D.D.S.NPI 1356490544
Title
Co-Owner
Phone
(563) 449-9055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 07929 IA
General Practice Dentistry 1223G0001X 06227 IA Primary

Addresses

Primary practice location

2820 Aaa CT
Bettendorf, IA 52722-6752

Mailing address

2820 Aaa CT
Bettendorf, IA 52722-6752
Phone (563) 449-9055

National Provider Directory

National Provider Directory

Locations

2820 AAA Ct
Bettendorf, IA 52722
Phone (563) 449-1070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578769295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 AAA CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226752",
            "telephone_number": "563-449-9055",
            "fax_number": "563-449-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 AAA CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226752",
            "telephone_number": "563-449-9055",
            "fax_number": "563-449-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNHAM & GAGLIARDO, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "563-449-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07929",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.