Jeffrey T. Burnett, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12175 Issued in TX

Practice address

15300 FM 1825 Ste 104B
Pflugerville, TX 78660-3167

Phone

(512) 251-4121

Fax

(512) 251-3258

NPI assigned

Jan 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Summer Iris Dental PLLC

  • Dental Clinic/Center
  • Pflugerville, TX
  • NPI 1942175674

  General Practice

  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972652816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 FM 1825 STE 104B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603167",
            "telephone_number": "512-251-4121",
            "fax_number": "512-251-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 FM 1825 STE 104B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603167",
            "telephone_number": "512-251-4121",
            "fax_number": "512-251-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JEFFREY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Zachary Burch, DO
• Starr Burgess, M.A., NCC, LPC
• Allison Burk, MS, CCC-SLP
• James L Burk, D.D.S.
• David Scott Burks, RN MSN CRNA
• John Rosevear Burton Jr., MSPT
• Allison Hall Butcher, PT, DPT
• Victoria Cadena
• Caliber Youth Services, LLC
• Macey Lee Callaway

• General Practice Dentistry in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.