Burlingame Dental Arts

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6344 Issued in OR

Legal business name

BURLINGAME DENTAL ARTS

Practice address

7471 SW Barbur Blvd
Portland, OR 97219-2809

Phone

(503) 246-8447

Fax

(503) 245-6631

NPI assigned

Sep 9, 2006

Last updated

Jul 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane T Lorenzen

Title

Office Manager

Phone

(503) 246-8447

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Patrick De Graff, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1588964282
  NPD (past)
• Elisabeth J Kierkegaarde, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1780788935
  NPD (past)
• Mark D Wilson, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1598869745
  NPD (past)

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

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1962506113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192809",
            "telephone_number": "503-246-8447",
            "fax_number": "503-245-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192809",
            "telephone_number": "503-246-8447",
            "fax_number": "503-245-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-09",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "LORENZEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-246-8447"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6336",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Burks
• Valentin P Burlachenko
• Christy Delee Burleson, CNS
• Alexander Burley
• Erica Robyn Burley, DSOM L.AC
• Jeremy Nicholas Burlingame
• Jennifer Burmeister, PA
• Mara Nicole Burmeister, LPC
• David Burnell
• Pepper Burner

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.