Individual provider Active NPI

Patricia Ann Burba

  • General Practice Dentistry
  • Methuen, MA
National Provider Identifier
1861581340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18763 Issued in MA
Practice address
60 East St
Suite 3000
Methuen, MA 01844-4500
Phone
(978) 681-7740
Fax
(978) 681-5018
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18763 MA Primary

Addresses

Primary practice location

60 East St
Suite 3000
Methuen, MA 01844-4500

Mailing address

60 East St
Suite 3000
Methuen, MA 01844-4500
Phone (978) 681-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716002242 MA Order and Referring Only - DentistPractitioner - Dentist 8224292313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18763MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P Torrisi DDS PC General Practice PastSince Feb 4, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861581340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "address_2": "SUITE 3000",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-681-7740",
            "fax_number": "978-681-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "address_2": "SUITE 3000",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-681-7740",
            "fax_number": "978-681-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.