NPIMap

Organization Active NPI

Patrick S. Burchfield DDS, PC

  • General Practice Dentistry
  • Bryan, TX
National Provider Identifier
1891072013
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23796 Issued in TX
Legal business name
PATRICK S. BURCHFIELD DDS, PC
Practice address
4444 Carter Creek Pkwy
Suite 101
Bryan, TX 77802-4467
Phone
(979) 846-7799
Fax
(979) 268-0178
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Patrick S Burchfield, DDSNPI 1376523290
Title
Owner/President
Phone
(979) 846-7799

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23796 TX Primary

Addresses

Primary practice location

4444 Carter Creek Pkwy
Suite 101
Bryan, TX 77802-4467

Mailing address

4444 Carter Creek Pkwy
Suite 101
Bryan, TX 77802-4467
Phone (979) 846-7799

Other names 1

  • Southern SMiles, Family and Cosmetic Dentristry Doing business as

National Provider Directory

National Provider Directory

Locations

4444 Carter Creek Pkwy
Ste 101
Bryan, TX 77802
Phone (979) 846-7799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1891072013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 CARTER CREEK PKWY",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024467",
            "telephone_number": "979-846-7799",
            "fax_number": "979-268-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 CARTER CREEK PKWY",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024467",
            "telephone_number": "979-846-7799",
            "fax_number": "979-268-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK S. BURCHFIELD DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "BURCHFIELD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "979-846-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern SMiles, Family and Cosmetic Dentristry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.