Active NPI
Bruna Burgener, D.D.S.
- Dentist
- Hinsdale, IL
National Provider Identifier
1639318215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.027271
- Practice address
- 522 Chestnut St
Hinsdale, IL 60521-3171 - Phone
- (630) 655-3636
- NPI assigned
- Feb 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027271 | IL | Primary |
Addresses
Primary practice location
522 Chestnut St
Hinsdale, IL 60521-3171
Mailing address
521 W Superior St Apt 124
Chicago, IL 60654-3410
Phone (646) 256-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20150527002265 | IL | Order and Referring Only - Oral Surgery | 7719207042 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027271 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1639318215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W SUPERIOR ST APT 124",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543410",
"telephone_number": "646-256-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 CHESTNUT ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213171",
"telephone_number": "630-655-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGENER",
"first_name": "BRUNA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.