NPIMap

Organization Active NPI

Richard D. Burns, Jr. DDS, MSD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elkhart, IN
National Provider Identifier
1972716199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12009006A Issued in IN
Legal business name
RICHARD D. BURNS, JR. DDS, MSD, PC
Practice address
23618 US Highway 33
Elkhart, IN 46517-3608
Phone
(574) 875-8196
Fax
(574) 875-0581
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard D. Burns Jr., DDS, MSDNPI 1720207061
Title
Owner
Phone
(574) 875-8196

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12009006A IN Primary

Addresses

Primary practice location

23618 US Highway 33
Elkhart, IN 46517-3608

Mailing address

23618 US Highway 33
Elkhart, IN 46517-3608
Phone (574) 875-8196

National Provider Directory

National Provider Directory

Locations

23618 US Highway 33
Elkhart, IN 46517
Phone (574) 875-8196

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972716199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23618 US HIGHWAY 33",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173608",
            "telephone_number": "574-875-8196",
            "fax_number": "574-875-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23618 US HIGHWAY 33",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173608",
            "telephone_number": "574-875-8196",
            "fax_number": "574-875-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. BURNS, JR. DDS, MSD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-875-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009006A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.