Terry Allen Burgess, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4219 Issued in AL

Practice address

810 Palmer Rd Ste 103
Madison, AL 35758-3115

Phone

(256) 772-2626

Fax

(256) 772-2602

NPI assigned

Feb 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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.

• Terry a. Burgess

  • Dentist
  • Madison, AL
  • NPI 1649648858
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972641090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PALMER RD STE 103",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583115",
            "telephone_number": "256-772-2626",
            "fax_number": "256-772-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PALMER RD STE 103",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583115",
            "telephone_number": "256-772-2626",
            "fax_number": "256-772-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TERRY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913345",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Katlyn Buccieri
• Herbert Nolan Buckner, D.C.
• Jennifer Reeves Burcham, PHARM D
• Ashley Keir Burchfield, MD
• Daisha Monea Burgess, LICSW
• Genyce Lavon Burkett, CRNP
• Courtney Burns, LPC
• Erin Turner Burress, FNP
• Virginia Burridge
• Stephanie W Burton, M.D.

• General Practice Dentistry in Madison, AL
• Providers in Madison, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.