Burrus Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BURRUS DENTISTRY PC

Practice address

413 NW Larch Ave
Suite 201
Redmond, OR 97756-1361

Phone

(541) 923-8666

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elise Poremski Burrus, DDS

Title

Pediatric Dentist

Phone

(541) 923-8666

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dental Associates Doing business as

Locations

Practitioners 2

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

• David Mosher Burrus, DDS

  • Pediatric Dentistry
  • Redmond, OR
  • NPI 1881986859
  NPD (past)
• Stephanie Michelle O'Neill, R.D.H.

  • Dental Hygienist
  • Redmond, OR
  • NPI 1770919730
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1912304528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 NW LARCH AVE",
            "address_2": "SUITE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561361",
            "telephone_number": "541-923-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 NW LARCH AVE",
            "address_2": "SUITE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561361",
            "telephone_number": "541-923-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRUS DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "BURRUS",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "POREMSKI",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "541-923-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Brzycki, DO
• Scot E Burgess, D.M.D.
• Corina Burich, QMHA
• Seth W Burke
• Hannah Louise Burroughs, LMT
• David Mosher Burrus, DDS
• Elise Burrus, DDS
• Molly K Burton, LMT
• Paige Marie Buswell, RDH
• Butler Chiropractic PC

• Pediatric Dentistry in Redmond, OR
• Providers in Redmond, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.