Active NPI
Thomas Burk, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Nashua, NH
National Provider Identifier
1023452240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 04477
- Practice address
- 39 Simon Street
Unit 11-13
Nashua, NH 03060-0599 - Phone
- (603) 883-4008
- Fax
- (603) 881-3822
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 04477 | NH | Primary |
Addresses
Primary practice location
39 Simon Street
Unit 11-13
Nashua, NH 03060-0599
Mailing address
39 Simon Street
Unit 11-13
Nashua, NH 03060-0599
Phone (603) 883-4008
Other practice location 1
15 Constitution Dr Ste 2B
Bedford, NH 03110-6002
Phone (603) 883-4008
Other names 1
- Tommy Burk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 30, 2019 through Jun 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04477 | NH | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Oral Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Nashua, NH
- NPI 1881617959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1023452240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SIMON STREET",
"address_2": "UNIT 11-13",
"city": "NASHUA",
"state": "NH",
"postal_code": "030600599",
"telephone_number": "603-883-4008",
"fax_number": "603-881-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SIMON STREET",
"address_2": "UNIT 11-13",
"city": "NASHUA",
"state": "NH",
"postal_code": "030600599",
"telephone_number": "603-883-4008",
"fax_number": "603-881-3822"
}
],
"practiceLocations": [
{
"address_1": "15 Constitution Dr Ste 2B",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "NH",
"postal_code": "031106002",
"country_code": "US",
"telephone_number": "603-883-4008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURK",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NH",
"license": "04477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOMMY",
"last_name": "BURK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.