Active NPI
Nancy H Burkhardt, DDS
- Dentist
- Madison, IN
National Provider Identifier
1023454295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009475
- Practice address
- 711 Green Rd
Madison, IN 47250-2143 - Phone
- (812) 265-2611
- Fax
- (812) 265-7239
- NPI assigned
- May 15, 2013
- Last updated
- May 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12009475 | IN | Primary |
Addresses
Primary practice location
711 Green Rd
Madison, IN 47250-2143
Mailing address
711 Green Rd
Madison, IN 47250-2143
Phone (812) 265-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009475 | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1023454295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 GREEN RD",
"city": "MADISON",
"state": "IN",
"postal_code": "472502143",
"telephone_number": "812-265-2611",
"fax_number": "812-265-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 GREEN RD",
"city": "MADISON",
"state": "IN",
"postal_code": "472502143",
"telephone_number": "812-265-2611",
"fax_number": "812-265-7239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "NANCY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.