NPIMap

Organization Active NPI

Burross Jackson Ratzlaff DDS

  • General Practice Dentistry
  • Wichita Falls, TX
National Provider Identifier
1821255779
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BURROSS JACKSON RATZLAFF DDS
Practice address
5 Eureka Cir
Suite a
Wichita Falls, TX 76308-2900
Phone
(940) 691-6066
Fax
(940) 691-6068
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Steven BurrossNPI 1649349119
Title
Owner/Dentist
Phone
(940) 691-6066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5 Eureka Cir
Suite a
Wichita Falls, TX 76308-2900

Mailing address

5 Eureka Cir
Suite a
Wichita Falls, TX 76308-2900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1821255779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR",
            "address_2": "SUITE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR",
            "address_2": "SUITE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900",
            "telephone_number": "940-691-6066",
            "fax_number": "940-691-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURROSS JACKSON RATZLAFF DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "BURROSS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-691-6066"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.