EXCLUDEDPROVIDER
Individual Revocation

Benjamin Gray Burris

Windermere, FL 34786

Public HHS-OIG LEIE exclusion record

Benjamin Gray Burris of Windermere, FL is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1942302294 with a primary specialty of Dentist, Orthodontics and Dentofacial Orthopedics. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Benjamin Gray Burris is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2025.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Windermere, FL 34786
Exclusion date
January 20, 2025
Exclusion type
Revocation (1128b4)
NPI
1942302294

Record summary

Benjamin Gray Burris appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Windermere, Florida. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is January 20, 2025, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJanuary 20, 2025
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1942302294
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Windermere, FL 34786. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Dentist.

NPI Registry context

The LEIE record lists NPI 1942302294. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (1223X0400X). Registered practice location: Orlando, FL. NPI enumeration date: Sep 5, 2006. NPPES status: Active. The NPI Registry lists credential: DDS, MDS.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Windermere, FL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Windermere, FL address.

Trinetra Vilas Vaidya Individual Revocation
Windermere, FL · License revocation, suspension, or surrender · Excluded Nov 2022
Emmanuel Lionel Nau Individual Revocation
Windermere, FL · License revocation, suspension, or surrender · Excluded Aug 2015

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in Florida More Records in Windermere More Revocation Records