BRANDY L BURGESS, DDS, MS, LLC (NPI# 1710343504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710343504 |
| Entity Type | Organization |
| Organization Name | BRANDY L BURGESS, DDS, MS, LLC |
| Other Organization Name | BURGESS ORTHODONTICS |
| Practice Address |
1276 Main St Imperial MO 63052-3861 |
| Practice Telephone | 6362237123 |
| Mailing Telephone | 6362237123 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Authorized Official Name | DR. BRANDY BURGESS (ORTHODONTIST) |
| Authorized Official Telephone | 6362237123 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2006016233 | MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Burgess Orthodontics | Doing Business As Name - Organization |
| Street Address |
1276 MAIN ST |
| City | IMPERIAL |
| State | MO |
| Zip Code | 63052-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265625958 | Brandy Burgess | Dentist | 1276 Main St, Imperial, MO 63052-3861 | 2007-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1043869456 | Susan Hawthorne | Technician | 2918 Sunridge Place, Imperial, MO 63052 | 2019-09-09 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1861778029 | Kelli Allen | Counselor | 6106 Kensington Court, Imperial, MO 63052 | 2011-11-01 |
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1437329133 | All Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 5844 Hwy. 61-67, Imperial, MO 63052 | 2008-03-10 |
| 1578029419 | Laura Lea Raineri | Nurse Practitioner | 1254 Main St, Imperial, MO 63052 | 2019-02-15 |
| 1033362900 | Angela Fears | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1437302379 | Mary Peterein | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1780651984 | Charles J Johnson | Chiropractor | 1006 Main Street, Suite B, Imperial, MO 63052 | 2006-03-07 |
| Find all providers in zip 63052 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1265625958 | Brandy Burgess | Dentist | 1276 Main St, Imperial, MO 63052-3861 | 2007-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878034 | Soh of Missouri Samson Liu PC | Dentist | 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304-8107 | 2020-10-16 |
| 1952918054 | Candid Missouri, LLC | Dentist | 7431 Broadway, Kansas City, MO 64114-1529 | 2020-09-23 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1780140459 | Evan W Brown Dds Inc | Dentist | 160 Four Seasons Shopping Ctr, Chesterfield, MO 63017-3104 | 2019-02-18 |
| 1376014852 | Catherine Loner | Dentist | 1470 S New Florissant Rd, Florissant, MO 63031-8198 | 2018-12-10 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023557766 | Uncommon Orthodontics By William A. Pickard, Dds, Ms, Pllc | Dentist | 2330 S Range Line Rd Ste E, Joplin, MO 64804-3267 | 2017-02-14 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1912458688 | Jerry F. Cash | Dentist | 2844 S Ingram Mill Rd, Springfield, MO 65804-4042 | 2016-10-18 |
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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.