Michael D Burleson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4616 Issued in NC

Practice address

113 W Arbor LN
Eden, NC 27288-5305

Phone

(336) 623-9143

Fax

(336) 627-0948

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Abbey S. Hawkins, DDS, PA

  • General Practice Dentistry
  • Eden, NC
  • NPI 1619578846
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598842890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272890929",
            "telephone_number": "336-623-9143",
            "fax_number": "336-627-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ARBOR LN",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885305",
            "telephone_number": "336-623-9143",
            "fax_number": "336-627-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991182",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Gayle Buist, DNP
• Nigel A. Buist, MD
• Michaela Bullins
• Steven E Burdine, MD
• Lillian P Burke, MD
• But God LLC
• Care First Home Health Care, Inc
• Care of Diversity, LLC
• Carolina Apothecary Inc
• Carolina Prime Residential LLC

• General Practice Dentistry in Eden, NC
• Providers in Eden, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.