Heyward Burrell Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2201 Issued in DC

Practice address

2415 Benning Rd NE
Washington, DC 20002-4827

Phone

(202) 396-9679

Fax

(202) 396-6691

NPI assigned

Dec 13, 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

Practice roles

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.

• Dr. Heyward Burrell Dental Practice, PC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1487950929
  NPD (past) Authorized official
• Smile Services DC PLLC

  • General Practice Dentistry
  • Washington, DC
  • NPI 1922499730
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700947363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STATON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741803",
            "telephone_number": "301-249-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024827",
            "telephone_number": "202-396-9679",
            "fax_number": "202-396-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "HEYWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomasina Burns
• Jacquetta Burnside
• Emily D Burnworth, PA-C
• Renee Burr, HHA
• Patricia Burrage
• Janay Burrell
• Jasmine Victoria Burrell, MSW, LGSW
• Michelle Denise Burrell, HHA
• Sabrina Whitney Burrell, LGSW
• Stephanie Burrell, DDS

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• 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.