Active NPI
Thomas C. Burkley, DMD
- Periodontics
- Lake Mary, FL
National Provider Identifier
1144280058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN11778
- Practice address
- 430 Waymont CT
#110
Lake Mary, FL 32746 - Phone
- (407) 322-1688
- NPI assigned
- Mar 24, 2006
- Last updated
- May 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN11778 | FL | Primary |
Addresses
Primary practice location
430 Waymont CT
#110
Lake Mary, FL 32746
Mailing address
430 Waymont CT
#110
Lake Mary, FL 32746
Phone (407) 322-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN11778 | FL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Ho, D.M.D., P.a | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Lake Mary, FL
- NPI 1417399049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1144280058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WAYMONT CT",
"address_2": "#110",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "32746",
"telephone_number": "407-322-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WAYMONT CT",
"address_2": "#110",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "32746",
"telephone_number": "407-322-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKLEY",
"first_name": "THOMAS",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN11778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.