Active NPI
F. Jerome Burr, DDS, MDS, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dickson, TN
National Provider Identifier
1851563423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8270
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441633 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dickson, TN
- NPI 1205030921
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.