NPIMap

Organization Active NPI

Burley Endodontics, LLC

Doing business as Wilsonville Endodontics

  • Endodontics
  • Wilsonville, OR
National Provider Identifier
1710358700
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D9976 Issued in OR
Legal business name
BURLEY ENDODONTICS, LLC
Doing business as
Wilsonville Endodontics
Practice address
30485 SW Boones Ferry Rd
Suite 103
Wilsonville, OR 97070-7845
Phone
(503) 698-7268
NPI assigned
Oct 15, 2015
Last updated
Oct 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Dr. Jarid Andrew Burley, DMDNPI 1497186589
Title
Member
Phone
(503) 570-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D9148 OR
Endodontics 1223E0200X D9976 OR Primary

Addresses

Primary practice location

30485 SW Boones Ferry Rd
Suite 103
Wilsonville, OR 97070-7845

Mailing address

30485 SW Boones Ferry Rd
Suite 103
Wilsonville, OR 97070-7845
Phone (503) 698-7268

Other names 1

  • Wilsonville Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

30485 SW Boones Ferry Rd
Ste 103
Wilsonville, OR 97070
Phone (503) 698-7268

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1710358700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30485 SW BOONES FERRY RD",
            "address_2": "SUITE 103",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707845",
            "telephone_number": "503-698-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30485 SW BOONES FERRY RD",
            "address_2": "SUITE 103",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707845",
            "telephone_number": "503-698-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLEY ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "JARID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-570-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D9148",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D9976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilsonville Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.