NPIMap

Organization Active NPI

Bridget R. Burris D. D. S., P. C.

  • Dental Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1740662709
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1551 Issued in NM
Legal business name
BRIDGET R. BURRIS D. D. S., P. C.
Practice address
1748 S Triviz Dr
Las Cruces, NM 88001-5103
Phone
(575) 522-1983
Fax
(575) 522-3435
NPI assigned
Jun 25, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Dr. Bridget R. Burris, D.D.S.NPI 1275597700
Title
President
Phone
(575) 522-1983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1551 NM Primary

Addresses

Primary practice location

1748 S Triviz Dr
Las Cruces, NM 88001-5103

Mailing address

1748 S Triviz Dr
Las Cruces, NM 88001-5103
Phone (575) 522-1983

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1740662709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 S TRIVIZ DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015103",
            "telephone_number": "575-522-1983",
            "fax_number": "575-522-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 S TRIVIZ DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015103",
            "telephone_number": "575-522-1983",
            "fax_number": "575-522-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGET R. BURRIS D. D. S., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-522-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.