Active NPI
Sheridan Nicole Delomel Burman, D.D.S.
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1831400464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25471
- Practice address
- 12201 Renfert Way
Suite Number 345
Austin, TX 78758-5354 - Phone
- (512) 836-3074
- Fax
- (512) 836-3252
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25471 | TX | Primary |
Addresses
Primary practice location
12201 Renfert Way
Suite Number 345
Austin, TX 78758-5354
Mailing address
907 Cardinal LN
Austin, TX 78704-8053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404002383 | TX | Order and Referring Only - Dentist | 2769789890 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25471 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1831400464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 CARDINAL LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787048053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "SUITE NUMBER 345",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-836-3074",
"fax_number": "512-836-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURMAN",
"first_name": "SHERIDAN",
"middle_name": "NICOLE DELOMEL",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.