Individual provider Active NPI

Charles Edward Burns, D.D.S.

  • General Practice Dentistry
  • Utica, NY
National Provider Identifier
1902981749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046585 Issued in NY
Practice address
2534 Genesee St
Utica, NY 13502-5814
Phone
(315) 724-5141
Fax
(315) 733-1270
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 046585 NY Primary

Addresses

Primary practice location

2534 Genesee St
Utica, NY 13502-5814

Mailing address

2534 Genesee St
Utica, NY 13502-5814
Phone (315) 724-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150702001291 NY Order and Referring Only - DentistPractitioner - Dentist 8921283391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046585NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Slavin, Jackson, & Burns DDS PLLC General Practice Past Accepting new patients
DRS Mark Slavin and Brian Jackson Mark Slavin Gen PTR Past Accepting new patients

Organizations & group practices 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902981749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025814",
            "telephone_number": "315-724-5141",
            "fax_number": "315-733-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025814",
            "telephone_number": "315-724-5141",
            "fax_number": "315-733-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.