Individual provider Active NPI

Alvis Duane Burris, DMD

  • General Practice Dentistry
  • Camden, DE
National Provider Identifier
1881671493
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0001179 Issued in DE
Practice address
199 South Street
Camden, DE 19934
Phone
(302) 697-3125
NPI assigned
Dec 23, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G10001179 DE
General Practice Dentistry 1223G0001X 0001179 DE Primary

Addresses

Primary practice location

199 South Street
Camden, DE 19934

Mailing address

1182 W Birdie LN
Magnolia, DE 19962-3103
Phone (302) 698-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150514000257 DE Order and Referring Only - DentistPractitioner - Dentist 4981924065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G10001179DEMDDentist
0001179DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alvis Burris Cosmetic and Family Dentistry LLC Dentist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881671493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 W BIRDIE LN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199623103",
            "telephone_number": "302-698-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SOUTH STREET",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "19934",
            "telephone_number": "302-697-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "ALVIS",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001179",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "0001179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, DE

Sources for this page

Verify at the official NPI Registry.