Individual provider Active NPI

Robyn Jo Burchman, DMD

  • Dentist
  • Bronx, NY
National Provider Identifier
1760442412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040506-1 Issued in NY
Practice address
3836 E Tremont Ave
Bronx, NY 10465-2435
Phone
(718) 892-2035
Fax
(718) 892-2152
NPI assigned
Mar 26, 2006
Sex
Female
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
Dentist 122300000X 040506-1 NY Primary

Addresses

Primary practice location

3836 E Tremont Ave
Bronx, NY 10465-2435

Mailing address

3836 E Tremont Ave
Bronx, NY 10465-2435
Phone (718) 892-2035

Other identifiers 1

IdentifierTypeStateIssuer
01392727MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160318001771 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9830496801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040506-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760442412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652435",
            "telephone_number": "718-892-2035",
            "fax_number": "718-892-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652435",
            "telephone_number": "718-892-2035",
            "fax_number": "718-892-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHMAN",
        "first_name": "ROBYN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040506-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01392727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.