Active NPI
Richard Joshua Burns, CCP LP
- Other Technician
- Newcastle, OK
National Provider Identifier
1790840262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- LP5
- Practice address
- 2210 S Highway 76
Newcastle, OK 73065 - Phone
- (405) 392-3628
- Fax
- (405) 392-2137
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | LP5 | OK | Primary |
Addresses
Primary practice location
2210 S Highway 76
Newcastle, OK 73065
Mailing address
PO Box 1378
Newcastle, OK 73065
Phone (405) 392-3628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5993501 | Other | AETNA | |
| 731213482003 | Other | BCBS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5 | OK | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790840262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1378",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "73065",
"telephone_number": "405-392-3628",
"fax_number": "405-392-2137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 S HIGHWAY 76",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "73065",
"telephone_number": "405-392-3628",
"fax_number": "405-392-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "RICHARD",
"middle_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "CCP LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OK",
"license": "LP5",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5993501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "731213482003",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Newcastle, OK
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.