Kevin Burke, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60569423 Issued in WA

Practice address

3710 168TH Street NW
BLDG. D, Suite 101
Arlington, WA 98223

Phone

(310) 922-8606

NPI assigned

Sep 19, 2013

Sex

Male

Sole proprietor

Yes

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 WA

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

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1063848265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE",
            "address_2": "BLDG D SUITE 101",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238461",
            "telephone_number": "310-922-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH STREET NW",
            "address_2": "BLDG. D, SUITE 101",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98223",
            "telephone_number": "310-922-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60569423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald John Bruesch, COUNSELOR
• Bryce K Duskin DDS PS
• Emma Jean Budros
• Lenora Mae Bunkelman
• Ronald Linn Burgner
• Mariah Burkett, LMT
• Rachel Burrington, DNP, ARNP, FNP-BC
• Rachel Elizabeth Buschelman, LMHCA
• Chantel L Buss, STUDENT
• Caprese Marie Calderon, LMT

• Endodontics in Arlington, WA
• Providers in Arlington, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.