Active NPI
Jodie June Burdette, A.S.
- Dental Hygienist
- Battle Creek, MI
National Provider Identifier
1790922862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902009109
- Practice address
- 26 Byron St.
Battle Creek, MI 49017 - Phone
- (269) 832-0425
- NPI assigned
- Jan 12, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902009109 | MI | Primary |
Addresses
Primary practice location
26 Byron St.
Battle Creek, MI 49017
Mailing address
26 Byron St
Battle Creek, MI 49017-4816
Phone (269) 832-0425
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
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902009109 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1790922862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BYRON ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490174816",
"telephone_number": "269-832-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BYRON ST.",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49017",
"telephone_number": "269-832-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDETTE",
"first_name": "JODIE",
"middle_name": "JUNE",
"credential": "A.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902009109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.