Active NPI
Jane A Burnham, MD PHD
- Neurology Physician
- Centennial, CO
National Provider Identifier
1710913751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 29559
- Practice address
- 7180 E Orchard Rd
Suite 204
Centennial, CO 80111-1724 - Phone
- (303) 788-7440
- Fax
- (303) 788-4633
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 29559 | CO | Primary |
Addresses
Primary practice location
7180 E Orchard Rd
Suite 204
Centennial, CO 80111-1724
Mailing address
7180 E Orchard Rd
Suite 204
Centennial, CO 80111-1724
Phone (303) 788-7440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01295591 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100804000875 | CO | Practitioner - Neurology | 7214060714 | Practice locations: Centennial, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29559 | CO | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1710913751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 E ORCHARD RD",
"address_2": "SUITE 204",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801111724",
"telephone_number": "303-788-7440",
"fax_number": "303-788-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 E ORCHARD RD",
"address_2": "SUITE 204",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801111724",
"telephone_number": "303-788-7440",
"fax_number": "303-788-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "JANE",
"middle_name": "A",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "29559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01295591",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.