{
"Npi": {
"NPI": "1326301870",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BURTENSHAW",
"FirstName": "IAN",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "250 HOSPITAL PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOLDOTNA",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99669-7559",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "907-714-4038",
"MailingAddressFaxNumber": "907-262-5191",
"FirstLinePracticeLocationAddress": "240 HOSPITAL PL STE 103",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOLDOTNA",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99669-7559",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "907-714-5312",
"PracticeLocationAddressFaxNumber": "844-412-3944",
"EnumerationDate": "06/20/2012",
"LastUpdateDate": "10/24/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "378",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "239194",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}