Organization Active NPI

Dr Irwin L Burstein DDS PC

  • Periodontics
  • Buffalo, NY
National Provider Identifier
1649286303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22706 Issued in NY
Legal business name
DR IRWIN L BURSTEIN DDS PC
Practice address
1060 Colvin Ave
Buffalo, NY 14223-1905
Phone
(716) 873-7030
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irwin L Burstein, DDS
Title
President
Phone
(716) 873-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 22706 NY Primary

Addresses

Primary practice location

1060 Colvin Ave
Buffalo, NY 14223-1905

Mailing address

1060 Colvin Ave
Buffalo, NY 14223-1905
Phone (716) 873-7030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649286303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 COLVIN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231905",
            "telephone_number": "716-873-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 COLVIN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231905",
            "telephone_number": "716-873-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR IRWIN L BURSTEIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURSTEIN",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-873-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "22706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.