Individual provider Active NPI

Thomas Burk, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashua, NH
National Provider Identifier
1023452240
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
04477 Issued in NH
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

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
04477NHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Oral Maxillofacial Surgery Oral and Maxillofacial Surgery PastSince May 9, 2021 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.

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

Verify at the official NPI Registry.