John Theodore Burdine, DDS, MSCD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9289 Issued in TX

Practice address

10000 Memorial Dr
Suite 410
Houston, TX 77024-3422

Phone

(713) 688-5200

Fax

(713) 688-5212

NPI assigned

Oct 25, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659455400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 MEMORIAL DR",
            "address_2": "SUITE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243422",
            "telephone_number": "713-688-5200",
            "fax_number": "713-688-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 MEMORIAL DR",
            "address_2": "SUITE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243422",
            "telephone_number": "713-688-5200",
            "fax_number": "713-688-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDINE",
        "first_name": "JOHN",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "9289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Matthew Burden, MD
• Noah Chandler Burden, DPT, CSCS
• Susan Louise Burden, CRNA
• Randall L Burdett, DC
• Tarina Michele Burdette, RCP, RRT
• Ramona C Burdine, MD
• Janet Lee Burditt Hamilton, LPC
• Robert Burdsall, D.C.
• Judy Burfict, LPC
• Hannah Burfield

• Periodontics in Houston, TX
• Providers in Houston, TX by specialty
• Periodontics in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.