Organization Active NPI

Ag Burris DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaufort, SC
National Provider Identifier
1811071293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1615 Issued in SC
Legal business name
AG BURRIS DDS PA
Practice address
960 Ribaut Rd
Suite 2
Beaufort, SC 29902-5431
Phone
(843) 525-6228
Fax
(843) 524-4468
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. A G Burris, DDSNPI 1255420741
Title
President
Phone
(843) 525-6228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1615 SC Primary

Addresses

Primary practice location

960 Ribaut Rd
Suite 2
Beaufort, SC 29902-5431

Mailing address

960 Ribaut Rd
Suite 2
Beaufort, SC 29902-5431
Phone (843) 525-6228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811071293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIBAUT RD",
            "address_2": "SUITE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025431",
            "telephone_number": "843-525-6228",
            "fax_number": "843-524-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RIBAUT RD",
            "address_2": "SUITE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025431",
            "telephone_number": "843-525-6228",
            "fax_number": "843-524-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG BURRIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-525-6228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.