Organization Active NPI

Burke Dental Associates LLC

  • Dentist
  • Wilmington, DE
National Provider Identifier
1033445101
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G10001216 Issued in DE
Legal business name
BURKE DENTAL ASSOCIATES LLC
Practice address
3105 Limestone Rd
Suite 305
Wilmington, DE 19808-2147
Phone
(302) 995-7128
NPI assigned
Oct 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Christopher Shawn Baran, DMD
Title
Partner
Phone
(302) 995-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X G10001216 DE Primary

Addresses

Primary practice location

3105 Limestone Rd
Suite 305
Wilmington, DE 19808-2147

Mailing address

3105 Limestone Rd
Suite 305
Wilmington, DE 19808-2147
Phone (302) 995-7128

Other identifiers 1

IdentifierTypeStateIssuer
1000040661MedicaidDE

National Provider Directory

National Provider Directory

Locations

3105 Limestone Rd
Ste 305
Wilmington, DE 19808
Phone (302) 933-9900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1033445101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-995-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-995-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "BARAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-995-7128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000040661",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.