DR. ELISE BURRUS (NPI# 1649583428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649583428 |
| Entity Type | Individual |
| Full Name | DR. ELISE BURRUS |
| Credential | DDS |
| Practice Address |
413 Nw Larch Ave Suite 201 Redmond OR 97756-1361 |
| Mailing Address |
2379 Nw Labiche Ln # 1 Bend OR 97701-7178 |
| Practice Telephone | 4149238666 |
| Mailing Telephone | 5412805186 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D9707 | OR | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6534-015 | WI | Dental Providers |
| Street Address |
413 NW LARCH AVE SUITE 201 |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992072 | Karen Jean Walz | Physical Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 | 2005-12-13 |
| 1497104145 | Emily Dutton | Physical Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1396 | 2016-06-03 |
| 1912304528 | Burrus Dentistry PC | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2014-11-25 |
| 1770919730 | Stephanie Michelle O'neill | Dental Hygienist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2013-09-23 |
| 1881986859 | David Mosher Burrus | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2011-05-10 |
| 1922315043 | Therapeutic Associates, Inc | Occupational Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 | 2010-09-10 |
| 1487960621 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 413 Nw Larch Ave, Ste 103, Redmond, OR 97756-1361 | 2010-08-25 |
| 1073833448 | Debbie Rief Fnp LLC | Nurse Practitioner | 413 Nw Larch Ave, #203, Redmond, OR 97756-1361 | 2010-06-08 |
| 1952632507 | David Joseph Sullivan | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2010-01-21 |
| 1033313697 | Amy J Houchens | Physical Therapist | 413 Nw Larch Ave, Suite 102, Redmond, OR 97756-1361 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114279627 | Clara Rhieu | Dentist | 15436 Bel Red Rd Ste 200, Redmond, WA 98052-5536 | 2012-10-08 |
| 1306124193 | Stephen G. Sadler | Dentist | 17130 Avondale Way Ne Ste 118, Redmond, WA 98052-4455 | 2011-07-27 |
| 1316239098 | David R. Atherton Dds Pllc | Dentist | 17130 Avondale Way Suite 118, Redmond, WA 98052-4455 | 2011-05-12 |
| 1386820686 | Shadi Mohammadi Araghi | Dentist | 15791 Bear Creek Pkwy, Apt A531, Redmond, WA 98052-4346 | 2008-01-16 |
| 1760681134 | Chris W Chen | Dentist | 15446 Bel Red Rd Ste 300, Redmond, WA 98052-5507 | 2007-07-16 |
| 1649322637 | Yushan S Chang | Dentist | 15230 Ne 24th St Ste N, Redmond, WA 98052-5540 | 2007-01-18 |
| 1043360167 | John Charles Frachella | Dentist | 1424 Sw 15th, Redmond, OR 47756 | 2007-01-11 |
| 1134204191 | Stephanie M Su | Dentist | 16650 Ne 79th St, #100, Redmond, WA 98052-4442 | 2006-10-26 |
| 1700822517 | Catherine M Quas | Dentist | 1429 Sw 15th St, Redmond, OR 97756-2965 | 2006-06-21 |
| 1821652546 | Sadler Dental Pllc | Dentist | 17130 Avondale Way Ne Ste 118, Redmond, WA 98052-4455 | 2019-04-29 |
| Find all providers in REDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.