Blake Burnett, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

9200 113TH Street
Saint Petersburg, FL 33708

Phone

(727) 394-6064

NPI assigned

Jul 3, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1073929634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 MIRAMAR DR",
            "address_2": "APT. 4207",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337083396",
            "telephone_number": "843-318-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 113TH STREET",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-394-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Vernard Burkett, L.C.S.W.
• Ipek Burkut Sarioguz, MD
• Cheska Lee Burleson, PHD
• Jacob Matthew Burmeister
• Michael G Burnard, P.T.
• Lee Anne Burney
• Mary R Burney
• Stefanie Burnham
• Cory M Burns, APRN
• Jaclyn Marcel Burns, APRN

• Student in an Organized Health Care Education/Training Program in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.