NPIMap

Organization Active NPI

Andrew M Burt DMD PSC

  • General Practice Dentistry
  • Bowling Green, KY
National Provider Identifier
1942579172
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7273 Issued in KY
Legal business name
ANDREW M BURT DMD PSC
Practice address
546 Park St Ste 400
Bowling Green, KY 42101-1780
Phone
(270) 781-6161
NPI assigned
Dec 16, 2011
Organization subpart
No

Practitioners 8

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

National Provider Directory

National Provider Directory

Locations

546 Park St
Ste 400
Bowling Green, KY 42101
Phone (270) 781-6161

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Andrew Madison Burt, DMDNPI 1104980523
Title
Owner / Dr.
Phone
(270) 781-6161

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 7273 KY Primary

Addresses

Primary practice location

546 Park St Ste 400
Bowling Green, KY 42101-1780

Mailing address

546 Park St Ste 400
Bowling Green, KY 42101-1780
Phone (270) 781-6161

Other names 1

  • Bluegrass Oral Health Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1942579172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 PARK ST STE 400",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011780",
            "telephone_number": "270-781-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 PARK ST STE 400",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011780",
            "telephone_number": "270-781-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M BURT DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MADISON",
        "authorized_official_title_or_position": "OWNER / DR.",
        "authorized_official_telephone_number": "270-781-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Oral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

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