| NPI | 1053463109 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-01-17 |
| Last Updated | 2021-05-25 |
| Mailing Address | Po Box 701047 San Antonio, TX 78270-1047 United States Phone: (210) 532-5461 📍 View Map |
| Primary Practice Address | 4721 Pecan Valley Dr San Antonio, TX 78223-1630 United States Phone: (210) 532-5461 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 13310 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 122300000X – Dentist | TX | 13310 |
| Yes | 1223G0001X – Dentist, General Practice | TX | 13310 |
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About NPI 1053463109
Richard L Burgess DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053463109. The primary specialty listed is Dentist, General Practice. The provider is located in San Antonio, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053463109?
NPI 1053463109 belongs to Richard L Burgess DDS, a Dentist, General Practice in San Antonio, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053463109 active?
The current status of NPI 1053463109 in the NPPES registry is Active. The record was last updated on 2021-05-25.
What specialty is NPI 1053463109?
NPI 1053463109 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053463109?
You can verify NPI 1053463109 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053463109?
The primary practice address on file for NPI 1053463109 is 4721 Pecan Valley Dr, San Antonio, TX 78223-1630. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053463109 issued?
NPI 1053463109 was first issued (enumerated) on 2007-01-17. The NPPES record was last updated on 2021-05-25.
Practice Location Map
Richard L Burgess is located at 4721 Pecan Valley Dr, San Antonio, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Richard L Burgess. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053463109. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 13310 | TX |
| Dentist, General Practice | 13310 | TX |