Individual provider Active NPI

Joel Embree Burvant, D.D.S.

  • General Practice Dentistry
  • Covington, LA
National Provider Identifier
1881989374
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6172 Issued in LA
Practice address
601 W 18TH Ave
Covington, LA 70433-3064
Phone
(985) 892-2403
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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 6172 LA Primary

Addresses

Primary practice location

601 W 18TH Ave
Covington, LA 70433-3064

Mailing address

601 W 18TH Ave
Covington, LA 70433-3064
Phone (985) 892-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150615000246 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496066771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6172LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Burvant Family Dentistry LLC 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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1881989374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 18TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333064",
            "telephone_number": "985-892-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 18TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333064",
            "telephone_number": "985-892-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURVANT",
        "first_name": "JOEL",
        "middle_name": "EMBREE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.