Jason Lawrence Burak, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

20797 Issued in MA

Practice address

56 Dodge St
Perionorth
Beverly, MA 01915-1786

Phone

(978) 922-7666

Fax

(978) 921-1714

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Perionorth, P.C.

  • Periodontics
  • Beverly, MA
  • NPI 1396841854
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1790758993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DODGE ST",
            "address_2": "PERIONORTH",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151786",
            "telephone_number": "978-922-7666",
            "fax_number": "978-921-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DODGE ST",
            "address_2": "PERIONORTH",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151786",
            "telephone_number": "978-922-7666",
            "fax_number": "978-921-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAK",
        "first_name": "JASON",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie J Buccini, LMHC
• Bettina Buchs
• Gisel M Budrow
• David McAlister Buff, P.A.
• Rosa T. Bui, M.D.
• Dustin Burden
• Sarah Mason Burgess, LICSW
• Cindy M Burke
• Joyce Jaimie Burke
• Burke, Nazaroff, Cusick & Bunin Professional Counseling

• Periodontics in Beverly, MA
• Providers in Beverly, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.