Individual provider Active NPI

Thomas Patrick Burns, D.M.D.

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1871534032
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7855 Issued in NC
Practice address
280 Concord Pkwy S
Suite 110-a
Concord, NC 28027-6730
Phone
(704) 920-1070
Fax
(704) 920-1071
NPI assigned
Jun 9, 2006
Last updated
Jul 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3974 SC
General Practice Dentistry 1223G0001X 7855 NC Primary

Addresses

Primary practice location

280 Concord Pkwy S
Suite 110-a
Concord, NC 28027-6730

Mailing address

280 Concord Pkwy S
Suite 110-a
Concord, NC 28027-6730
Phone (704) 920-1070

Other identifiers 1

IdentifierTypeStateIssuer
ZX3974MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 18, 2016 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7855NCMDGeneral Practice Dentistry
3974SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1871534032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CONCORD PKWY S",
            "address_2": "SUITE 110-A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276730",
            "telephone_number": "704-920-1070",
            "fax_number": "704-920-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CONCORD PKWY S",
            "address_2": "SUITE 110-A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276730",
            "telephone_number": "704-920-1070",
            "fax_number": "704-920-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3974",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3974",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.