Organization Active NPI

Robert H Burch Jr DDS Inc

  • General Practice Dentistry
  • Monticello, AR
National Provider Identifier
1609886068
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2693 Issued in AR
Legal business name
ROBERT H BURCH JR DDS INC
Practice address
791 Roberts Dr
Monticello, AR 71655-5724
Phone
(870) 367-7241
Fax
(870) 367-1424
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. Robert Henry Burch Jr., DDS
Title
Director
Phone
(870) 367-7241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2693 AR Primary

Addresses

Primary practice location

791 Roberts Dr
Monticello, AR 71655-5724

Mailing address

791 Roberts Dr
Monticello, AR 71655-5724
Phone (870) 367-7241

National Provider Directory

National Provider Directory

Locations

791 Roberts Dr
Monticello, AR 71655
Phone (870) 367-1123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1609886068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-7241",
            "fax_number": "870-367-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555724",
            "telephone_number": "870-367-7241",
            "fax_number": "870-367-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H BURCH JR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-367-7241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.