Jeffrey R Burroughs, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

61135 Issued in KS

Practice address

5525 W 119TH St
Ste 215
Overland Park, KS 66209-3724

Phone

(913) 258-5696

Fax

(913) 258-5697

NPI assigned

Sep 16, 2005

Last updated

Mar 1, 2017By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1730174590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 W 119TH ST",
            "address_2": "STE 215",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093724",
            "telephone_number": "913-258-5696",
            "fax_number": "913-258-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 W 119TH ST",
            "address_2": "STE 215",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093724",
            "telephone_number": "913-258-5696",
            "fax_number": "913-258-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026760",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7054",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "61135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Burns, MD
• Samuel Burns, MD
• Teresa Burns, SLP
• Nathan Marc Burrell
• Allison E Burris, M.D.
• Amy Burton, MA
• Anitra Burton
• Chynna Rose Burton, PA-C
• Kathleen Rose Burton, PA-C
• Stephanie Burwell, PHD

• Endodontics in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Endodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.

Verify at the official NPI Registry.