Burnside Dental and Orthodontics

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046812-1 Issued in NY

Legal business name

BURNSIDE DENTAL AND ORTHODONTICS

Practice address

1942 Harrison Ave
Bronx, NY 10453-4502

Phone

(718) 299-2972

Fax

(718) 731-0565

NPI assigned

Nov 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Juan Jimenez

Title

Business Owner

Phone

(718) 299-2972

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226707200000",
    "number": "1598919664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 HARRISON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534502",
            "telephone_number": "718-299-2972",
            "fax_number": "718-731-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 HARRISON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534502",
            "telephone_number": "718-299-2972",
            "fax_number": "718-731-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSIDE DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "718-299-2972",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046812-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033591-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053179-1",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054040-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judah Gershon Burns, MD
• Karen Ann Burns, MSED
• Kyle Burns
• Matthew Paul Burns
• Summer Rae Burns, LMSW
• Burnside Optical Inc.
• Burnside Pharmacy Corp
• Burnside RX Inc
• Melissa Nicole Burnside, MD, MHS
• Toni Ann Burrel

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; 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.