Individual provider Active NPI

Guy J Burk, D.M.D.

  • Dentist
  • Anchorage, AK
National Provider Identifier
1083868830
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1282 Issued in AK
Practice address
2805 Dawson St
Ste 101
Anchorage, AK 99503-3800
Phone
(907) 562-6456
Fax
(907) 562-0009
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1282 AK Primary

Addresses

Primary practice location

2805 Dawson St
Ste 101
Anchorage, AK 99503-3800

Mailing address

2805 Dawson St
Ste 101
Anchorage, AK 99503-3800
Phone (907) 562-6456

Other names 1

  • Guy J Laronge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20160613001882 AK Order and Referring Only - DentistPractitioner - Dentist 4082905575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1282AKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald E Burk DMD PC Past Accepting new patients
Guy J Burk DMD LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1083868830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 DAWSON ST",
            "address_2": "STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033800",
            "telephone_number": "907-562-6456",
            "fax_number": "907-562-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 DAWSON ST",
            "address_2": "STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033800",
            "telephone_number": "907-562-6456",
            "fax_number": "907-562-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "GUY",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUY",
            "last_name": "LARONGE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.