Active NPI
Natisha Burner, D.D.S.
- Pediatric Dentistry
- Rocky River, OH
National Provider Identifier
1730530346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30.025145
- Practice address
- 21590 Center Ridge Rd
Rocky River, OH 44116-3945 - Phone
- (440) 333-4623
- NPI assigned
- Jun 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1001630 | DC | |
| Pediatric Dentistry | 1223P0221X | 30.025145 | OH | Primary |
Addresses
Primary practice location
21590 Center Ridge Rd
Rocky River, OH 44116-3945
Mailing address
28 Wilkinson Way Unit 4205
Bluffton, SC 29910-4787
Other practice location 1
1220 12th St SE
Suite 120
Washington, DC 20003-3722
Phone (202) 715-7900
Other practice location 2
10900 Euclid Ave
Cleveland, OH 44106-1712
Phone (216) 368-6185
Other practice location 3
1581 Dodd Dr Rm 345
Columbus, OH 43210
Phone (614) 685-3197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0236053 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025145 | OH | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1730530346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WILKINSON WAY UNIT 4205",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21590 CENTER RIDGE RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163945",
"telephone_number": "440-333-4623"
}
],
"practiceLocations": [
{
"address_1": "1220 12th St SE",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200033722",
"country_code": "US",
"telephone_number": "202-715-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10900 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061712",
"country_code": "US",
"telephone_number": "216-368-6185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1581 Dodd Dr Rm 345",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43210",
"country_code": "US",
"telephone_number": "614-685-3197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNER",
"first_name": "NATISHA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2022-11-14",
"certification_date": "2022-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1001630",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30.025145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236053",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.