Patricia Burness DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATRICIA BURNESS DDS, PC

Practice address

1448 S Gratiot Ave
Mount Clemens, MI 48043

Phone

(586) 954-3840

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Patricia BurnessNPI 1154472959

Title

Owner

Phone

(586) 295-4488

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia A Burness, D.D.S.

  • General Practice Dentistry
  • Mount Clemens, MI
  • NPI 1154472959
  NPD Authorized official
• Geraldine Ocampo Gallant, D.D,S,

  • General Practice Dentistry
  • Mount Clemens, MI
  • NPI 1386894384
  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1801526389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 S GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480436533",
            "telephone_number": "586-954-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 S GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-954-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BURNESS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "BURNESS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-295-4488"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154472959",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Notused",
            "affiliation": "N",
            "address_1": "1448 S Gratiot Ave",
            "city": "Mount Clemens",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480436533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NotUsed",
            "affiliation": "N",
            "address_1": "1448 S Gratiot Ave",
            "city": "Mount Clemens",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480436533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pooja Chetankumar Patel
• Pulin Pravin Patel, D.O.
• Saajan Patel, DO
• Vijay Ravin Patel, M.D.
• Pathology Associates of Mt Clemens PC
• Patrick M. Flaherty, DO PC
• Baari Pauls
• Katrina Paver
• Robert Jay Paxton
• Pearle Vision Inc

• General Practice Dentistry in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.