Larry David Burt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16257 Issued in MA

Practice address

696 Main Street
South Weymouth, MA 02190

Phone

(781) 331-3030

Fax

(781) 335-5878

NPI assigned

Sep 22, 2006

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Dentistry

  dba Larry D. Burt DMD PC

  • General Practice Dentistry
  • South Weymouth, MA
  • NPI 1720188675
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1801996749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MAIN STREET",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-331-3030",
            "fax_number": "781-335-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MAIN STREET",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-331-3030",
            "fax_number": "781-335-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "LARRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin David Broff, M.D.
• Maria Brouard
• Michael Andrew Buckner, MD
• Camden Burk, MD
• Emma Kay Burnick, PA-C
• William Calhoun, MD
• Jennifer Calzarette, PA
• Camelot Dental
• Justin John Campbell, MD
• Mark David Canning, M.D.

• General Practice Dentistry in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.