North Port Oral Surgery Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18166 Issued in FL

Legal business name

NORTH PORT ORAL SURGERY INC.

Practice address

2787 Sycamore St
Building F, Suite 106
North Port, FL 34289

Phone

(941) 423-1750

Fax

(941) 423-2005

NPI assigned

Aug 19, 2009

Last updated

Aug 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Chris Burne, D.M.D.NPI 1659477727

Title

Surgeon/Ceo

Phone

(941) 423-1750

Specialties & licenses 1

Addresses

Tax ID family

North Port Oral Surgery and Dental Arts Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Port Oral Surgery and Dental Arts Inc.

  • Dental Clinic/Center
  • North Port, FL
  • NPI 1295275964
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark C Burne, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • North Port, FL
  • NPI 1659477727
  Authorized official Same address or phone

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1710119177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 SYCAMORE ST",
            "address_2": "BUILDING F, SUITE 106",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34289",
            "telephone_number": "941-423-1750",
            "fax_number": "941-423-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 SYCAMORE ST",
            "address_2": "BUILDING F, SUITE 106",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34289",
            "telephone_number": "941-423-1750",
            "fax_number": "941-423-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PORT ORAL SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "BURNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "SURGEON/CEO",
        "authorized_official_telephone_number": "941-423-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Port Counseling Services LLC
• North Port Diagnostic Imaging Center Inc
• North Port Eye Care Inc.
• North Port Family Dentistry, PLLC (Aaron Memon, DMD)
• North Port Oral Surgery and Dental Arts Inc.
• North Port Pharmacy Inc (North Port Pharmacy)
• North Port Pines Retirement Centers, Inc.
• North Port Podiatry Center PA (North Port & Englewood Podiarty)
• North Port Podiatry Center PA (North Port & Englewood Podiatry)
• North Port Primary Care Association PL

• Dental Clinic/Center in North Port, FL
• Providers in North Port, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.