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BURWELL DENTAL CLINIC P.C. NPI 1609157999


NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1609157999 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name BURWELL DENTAL CLINIC, P.C. The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Practice Location Address 424 GRAND AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name BURWELL The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name NE The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code 688234152 The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 3083464988 The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 3083469103 The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 8/31/2011 The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 8/31/2011 The date that a record was last updated or changed.
Authorized Official Last Name GARNER The date the provider was assigned a unique identifier (assigned an NPI).
Authorized Official First Name TIMOTHY The first name of the authorized official.
Authorized Official Middle Name P The middle name of the authorized official.
Authorized Official Title or Position OWNER The title or position of the authorized official.
Authorized Official Telephone Number 3083464988 The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1 1223G0001X The first name of the provider, if the provider is an individual.
Healthcare Provider Primary Taxonomy Switch 1 Y The State code in the location of the provider being identified.
Other Provider Identifier 1 =========00 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1 05 The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Other Provider Identifier State 1 NE
Is Organization Subpart N
Authorized Official Name Prefix Text DR.
Authorized Official Credential Text D.D.S. The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.