Organization Active NPI

Kevin W, Burton Sr., D.D.S., P. a.

  • General Practice Dentistry
  • Greenville, NC
National Provider Identifier
1700981313
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEVIN W, BURTON SR., D.D.S., P. A.
Practice address
1720 West Arlington Blvd
Greenville, NC 27834-5998
Phone
(252) 353-2111
Fax
(252) 353-2115
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Kevin W. Burton Sr., D.D.S.
Title
President
Phone
(252) 353-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1720 West Arlington Blvd
Greenville, NC 27834-5998

Mailing address

1720 West Arlington Blvd.
Greenville, NC 27834-5998
Phone (252) 353-2111

Other identifiers 1

IdentifierTypeStateIssuer
89015WFMedicaidNC

Other names 1

  • Burton Family Dental & Associates Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1700981313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WEST ARLINGTON BLVD.",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345998",
            "telephone_number": "252-353-2111",
            "fax_number": "252-353-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WEST ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345998",
            "telephone_number": "252-353-2111",
            "fax_number": "252-353-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN W, BURTON SR., D.D.S., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-353-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015WF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burton Family Dental & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.