Michael Burgardt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020039 Issued in MI

Practice address

410 E Ludington Ave
Ludington, MI 49431-2123

Phone

(231) 843-9810

NPI assigned

Aug 27, 2010

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burgardt Family Dentistry PC

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1962712810
  NPD (past) Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1063728012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312123",
            "telephone_number": "231-843-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312123",
            "telephone_number": "231-843-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGARDT",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Kristine-Mayo Buchner, MS, CFY-SLP
• Holly Buck, LLMSW
• Sadie Buday, PA-C
• Heather Bullock
• Burgardt Family Dentistry PC
• Leslie Kapelle Burns, LBSW
• Abigail Butler
• Kelly L Buxman, RD
• Kathryn A Cain-Torrez, LMSW ACSW
• Sonya C Camilli, PA-C

• General Practice Dentistry in Ludington, MI
• Providers in Ludington, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.