Individual provider Active NPI

James M Burkart, DDS PC

  • General Practice Dentistry
  • Mishawaka, IN
National Provider Identifier
1093884173
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008965 Issued in IN
Practice address
13432 McKinley Highway
Mishawaka, IN 46546
Phone
(574) 255-0035
Fax
(574) 255-7786
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008965 IN Primary

Addresses

Primary practice location

13432 McKinley Highway
Mishawaka, IN 46546

Mailing address

13432 McKinley Highway
Mishawaka, IN 46546
Phone (574) 255-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20161116001519 IN Order and Referring Only - DentistPractitioner - Dentist 4082993936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008965INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James M. Burkart Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1093884173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HIGHWAY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46546",
            "telephone_number": "574-255-0035",
            "fax_number": "574-255-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HIGHWAY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46546",
            "telephone_number": "574-255-0035",
            "fax_number": "574-255-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKART",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.