Organization Active NPI

Burk Smiles-Burkburnett PLLC

  • General Practice Dentistry
  • Burkburnett, TX
National Provider Identifier
1063985653
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BURK SMILES-BURKBURNETT PLLC
Practice address
412 S Avenue D Ste B
Burkburnett, TX 76354-3542
Phone
(940) 569-2777
Fax
(940) 569-9855
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Tee Semera
Title
Credentialing
Phone
(817) 809-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

412 S Avenue D Ste B
Burkburnett, TX 76354-3542

Mailing address

1261 W Green Oaks Blvd Ste 101
Arlington, TX 76013-8349

National Provider Directory

National Provider Directory

Locations

412 S Avenue D
Ste B
Burkburnett, TX 76354
Phone (940) 569-2777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1063985653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S AVENUE D STE B",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543542",
            "telephone_number": "940-569-2777",
            "fax_number": "940-569-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURK SMILES-BURKBURNETT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "817-809-4865"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkburnett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.