Active NPI
Nathaniel H Burns
- Dentist
- Waukesha, WI
National Provider Identifier
1659808822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001544-15
- Practice address
- 713 W Moreland Blvd
Waukesha, WI 53188-2432 - Phone
- (262) 542-4827
- NPI assigned
- May 17, 2017
- Last updated
- Oct 16, 2017
- Sex
- Male
- 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 | 1001544-15 | WI | Primary |
Addresses
Primary practice location
713 W Moreland Blvd
Waukesha, WI 53188-2432
Mailing address
713 W Moreland Blvd
Waukesha, WI 53188-2432
Phone (262) 542-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001544-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biederwolf & Burns Family Dentistry, SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Waukesha, WI
- NPI 1730118928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1659808822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W MORELAND BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882432",
"telephone_number": "262-542-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W MORELAND BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882432",
"telephone_number": "262-542-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "NATHANIEL",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001544-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.