NPIMap

Organization Active NPI

Dwayne R Burbach DDS Inc

  • Dental Clinic/Center
  • Atascadero, CA
National Provider Identifier
1780860791
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
28846 Issued in CA
Legal business name
DWAYNE R BURBACH DDS INC
Practice address
7005 Atascadero Ave
Atascadero, CA 93422-4431
Phone
(805) 466-3328
Fax
(805) 466-0824
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Dr. Dwayne Robert Burbach, DDSNPI 1972729077
Title
Owner
Phone
(805) 466-3328

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 28846 CA Primary

Addresses

Primary practice location

7005 Atascadero Ave
Atascadero, CA 93422-4431

Mailing address

7005 Atascadero Ave
Atascadero, CA 93422-4431
Phone (805) 466-3328

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1780860791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 ATASCADERO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224431",
            "telephone_number": "805-466-3328",
            "fax_number": "805-466-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 ATASCADERO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224431",
            "telephone_number": "805-466-3328",
            "fax_number": "805-466-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE R BURBACH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "BURBACH",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-466-3328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.