DR. JOHN THEODORE BURDINE (NPI# 1659455400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659455400 |
| Entity Type | Individual |
| Full Name | DR. JOHN THEODORE BURDINE |
| Credential | DDS, MSCD |
| Practice Address |
10000 Memorial Dr Suite 410 Houston TX 77024-3422 |
| Practice Telephone | 7136885200 |
| Practice Fax Number | 7136885212 |
| Mailing Telephone | 7136885200 |
| Mailing Fax Number | 7136885212 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9289 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225000649 | John Michael Burdine | Pain Medicine | 5408 Flanders Dr, Baton Rouge, LA 70808 | 2006-02-02 |
| Street Address |
10000 MEMORIAL DR SUITE 410 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588023774 | John Francis Thrash | Emergency Medicine | 10000 Memorial Dr, Suite 200, Houston, TX 77024-3422 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
| 1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
| 1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
| 1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
| 1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
| Find all providers in zip 77024 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1295284024 | Flavia Lakschevitz | Dentist | 7500 Cambridge St Rm 6484, Houston, TX 77054-2032 | 2016-09-21 |
| 1003287442 | Acp | Dentist | 14511 Old Katy Rd Ste 180, Houston, TX 77079-1015 | 2015-10-12 |
| 1730566019 | Manesh & Mofid, LLC | Dentist | 9801 Bissonnet St, Suite K/m, Houston, TX 77036-8364 | 2015-05-06 |
| 1457767790 | Karo Parsegian | Dentist | 7500 Cambridge St Ste 6424, Houston, TX 77054-2032 | 2014-07-08 |
| 1093065583 | Ut Dental Branch | Dentist | 4106 Lehigh Ave, Houston, TX 77005-1933 | 2012-09-12 |
| 1912253428 | Fabia Younus | Dentist | 2154 Bancroft St, Houston, TX 77027-3704 | 2012-08-02 |
| 1861765661 | Austin Teitelbaum | Dentist | 150 W Parker Rd Ste 702, Houston, TX 77076-2940 | 2012-02-10 |
| 1073802195 | Nhan Hien Dentistry | Dentist | 12148 Bellaire Blvd, Suite 102, Houston, TX 77072-2315 | 2011-03-29 |
| Find all providers in HOUSTON | ||||
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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.