Meredith L Burns, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416938 Issued in VA

Practice address

25421 Lizzio Center Dr Ste 109
Chantilly, VA 20152-5828

Phone

(703) 543-9724

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1689228330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25421 LIZZIO CENTER DR STE 109",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525828",
            "telephone_number": "703-543-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25421 LIZZIO CENTER DR STE 109",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525828",
            "telephone_number": "703-543-9724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1286 Maryland Rt 3 S Ste 7",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211141340",
            "country_code": "US",
            "telephone_number": "410-721-8200",
            "fax_number": "410-721-7629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "MEREDITH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16919",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Bullock, D.C.
• Katherine Burcham
• Melinda Collins Burgin, LPC
• Nancy Claire Burke, ATC
• Holly Jo-Ann Burley, LCSW
• Claire Lauren Butler, MSW
• Byrd Assistive Technologies, Inc.
• Joseph F Cadima-Alba
• Caelum Supplies LLC
• Chenise Marie Caison

• General Practice Dentistry in Chantilly, VA
• Providers in Chantilly, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.