Burlington Oral Surgery

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BURLINGTON ORAL SURGERY

Practice address

1225 S. Gear Ave.
Mercy Plaza Ste 156
West Burlington, IA 52655

Phone

(319) 752-2659

Fax

(319) 753-0856

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eric R Schmidt, DMD

Title

President/Owner

Phone

(319) 752-2659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene R Pankey, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • W Burlington, IA
  • NPI 1093778516
  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1730798570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S. GEAR AVE.",
            "address_2": "MERCY PLAZA STE 156",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "52655",
            "telephone_number": "319-752-2659",
            "fax_number": "319-753-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S. GEAR AVE.",
            "address_2": "MERCY PLAZA STE 156",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "52655",
            "telephone_number": "319-752-2659",
            "fax_number": "319-753-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "319-752-2659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Alan Bottke, M.D.
• Brenda Lee Brent, PHARMD
• Susan E. Brown, ARNP
• Burlington Ear Nose & Throat Clinic PC
• Burlington Neurology and Sleep Clinic, PLC
• Burlington Pediatric Association, P.C.
• Gregg W Calderwood, M.D.
• Cancer Care Associates, P.C.
• Courtney Carl
• David W Carlson, M.D.

• Dentist in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.