Daniel John Burgin, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

10305 Issued in TN

Practice address

6230 Highland Place Way Ste 102
Knoxville, TN 37919-4037

Phone

(865) 584-5611

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel J. Burgin, D.M.D. PLLC

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1811588221
  NPD Authorized official
• William H Smartt DDS PC

  • Prosthodontics
  • Knoxville, TN
  • NPI 1497959597
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1912357609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 HIGHLAND PLACE WAY STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194037",
            "telephone_number": "865-584-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 HIGHLAND PLACE WAY STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194037",
            "telephone_number": "865-584-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Hwy",
            "address_2": "Medical Building A, Suite 340",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201500",
            "country_code": "US",
            "telephone_number": "865-305-9440",
            "fax_number": "865-305-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2021-02-01",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TN",
            "license": "10305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Burgess, OTR/L
• Nicole Denise Burgess
• Stephanie Lois Burgess I, MS
• Tara Burgess
• Stephanie Burgett, NP
• Emma Christine Burgin
• Sarah J Burgin
• Izabela Burja, MD
• James Nathan Burke, MD
• Kody Burke, PTA

• Prosthodontics in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Prosthodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.