P Jude Burke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045707 Issued in NY

Practice address

5 Lock Street
Baldwinsville, NY 13027-2506

Phone

(315) 638-0276

Fax

(315) 303-5930

NPI assigned

Feb 21, 2007

Last updated

May 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1073658563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LOCK STREET",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272506",
            "telephone_number": "315-638-0276",
            "fax_number": "315-303-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOCK STREET",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272506",
            "telephone_number": "315-638-0276",
            "fax_number": "315-303-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "P JUDE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045707-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne L Bowen, D.C.
• Britany Brancheau, LMSW
• Jill Braun
• Leanna Brier
• Kevin James Brown, DPT
• Donna Chubb Burnett, LPN
• Michelle Antonette Burns, FNP
• Jessica Butler
• Susan L Call
• Shawn Calnan, PT

• General Practice Dentistry in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.