Individual provider Active NPI

Eric William Burns, DDS

  • General Practice Dentistry
  • Fort Bragg, NC
National Provider Identifier
1992775118
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8451 Issued in NC
Practice address
Dept of the Army, Dental Activitiy Stop B
2817 Reilly Rd, MCDS-NA-B
Fort Bragg, NC 28310-0001
Phone
(910) 396-5610
Fax
(910) 396-7017
NPI assigned
Jan 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5626 LA
General Practice Dentistry 1223G0001X 8451 NC Primary

Addresses

Primary practice location

Dept of the Army, Dental Activitiy Stop B
2817 Reilly Rd, MCDS-NA-B
Fort Bragg, NC 28310-0001

Mailing address

4914 Randall Pkwy
Wilmington, NC 28403-2879
Phone (910) 799-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160316002001 NC Order and Referring Only - DentistPractitioner - Dentist 6204132210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8451NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric and Casey Burns DDS PA General Practice Past Accepting new patients
J. Carter Ward DDS PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992775118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 RANDALL PKWY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032879",
            "telephone_number": "910-799-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF THE ARMY, DENTAL ACTIVITIY STOP B",
            "address_2": "2817 REILLY RD, MCDS-NA-B",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-396-5610",
            "fax_number": "910-396-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5626",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.