Active NPI
Justin Burns, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Philadelphia, PA
National Provider Identifier
1578778262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS036873
- Practice address
- 909 Walnut St
300 Cob
Philadelphia, PA 19107-5211 - Phone
- (215) 955-6215
- Fax
- (215) 923-9189
- NPI assigned
- May 14, 2007
- 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 | DS036873 | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS036873 | PA | Primary |
Addresses
Primary practice location
909 Walnut St
300 Cob
Philadelphia, PA 19107-5211
Mailing address
909 Walnut St
300 Cob
Philadelphia, PA 19107-5211
Phone (215) 955-6215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140904000890 | PA | Order and Referring Only - Oral Surgery | 6507084548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Medical Care, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1578778262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 WALNUT ST",
"address_2": "300 COB",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075211",
"telephone_number": "215-955-6215",
"fax_number": "215-923-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 WALNUT ST",
"address_2": "300 COB",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075211",
"telephone_number": "215-955-6215",
"fax_number": "215-923-9189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS036873",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS036873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.