Individual provider Active NPI

Ronald Schroeder Burnett, D.D.S.

  • General Practice Dentistry
  • Jonesboro, AR
National Provider Identifier
1740340207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AR2182 Issued in AR
Practice address
2500 Browns LN Ste B
Jonesboro, AR 72401-6107
Phone
(870) 932-9731
Fax
(870) 932-9746
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X AR2182 AR Primary

Addresses

Primary practice location

2500 Browns LN Ste B
Jonesboro, AR 72401-6107

Mailing address

2500 Browns LN Ste B
Jonesboro, AR 72401-6107
Phone (870) 932-9731

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

LicenseStateTypeSpecialty
AR2182ARMDGeneral Practice Dentistry
2182ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald S Burnett DDS PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740340207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BROWNS LN STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016107",
            "telephone_number": "870-932-9731",
            "fax_number": "870-932-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BROWNS LN STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016107",
            "telephone_number": "870-932-9731",
            "fax_number": "870-932-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "RONALD",
        "middle_name": "SCHROEDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.