Organization Active NPI

F. Jerome Burr, DDS, MDS, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dickson, TN
National Provider Identifier
1851563423
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8270 Issued in TN
Legal business name
F. JEROME BURR, DDS, MDS, PLLC
Practice address
314 E College St
Dickson, TN 37055-1832
Phone
(615) 446-6041
Fax
(615) 446-6094
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Frederick Jerome Burr, D.D.S., M.D.S.NPI 1205030921
Title
Orthodontist
Phone
(615) 390-1002

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8270 TN Primary

Addresses

Primary practice location

314 E College St
Dickson, TN 37055-1832

Mailing address

1232 Camp Ravine Rd
Burns, TN 37029-5259
Phone (615) 218-7770

Other identifiers 1

IdentifierTypeStateIssuer
5441633MedicaidTN

National Provider Directory

National Provider Directory

Locations

314 E College St
Dickson, TN 37055
Phone (615) 446-6041

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1851563423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 CAMP RAVINE RD",
            "city": "BURNS",
            "state": "TN",
            "postal_code": "370295259",
            "telephone_number": "615-218-7770",
            "fax_number": "615-446-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551832",
            "telephone_number": "615-446-6041",
            "fax_number": "615-446-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. JEROME BURR, DDS, MDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "615-390-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "8270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441633",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.