Individual provider Active NPI

Dennis Allan Burke, RDH

  • Dental Hygienist
  • Jacksonville, FL
National Provider Identifier
1144473554
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H4311 Issued in AZ
Practice address
2005 Knight Lane
BLDG H Navy Medicine Support Command Attn: Medical Staf
Jacksonville, FL 32212-0140
Phone
(928) 269-2353
Fax
(928) 269-3261
NPI assigned
Oct 29, 2008
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H4311 AZ Primary

Addresses

Primary practice location

2005 Knight Lane
BLDG H Navy Medicine Support Command Attn: Medical Staf
Jacksonville, FL 32212-0140

Mailing address

Box 99117
Detachment 13TH Dental Company
Yuma, AZ 85369-9117
Phone (928) 269-2353

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

LicenseStateTypeSpecialty
H4311AZMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1144473554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 99117",
            "address_2": "DETACHMENT 13TH DENTAL COMPANY",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853699117",
            "telephone_number": "928-269-2353",
            "fax_number": "928-269-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KNIGHT LANE",
            "address_2": "BLDG H NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAF",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "928-269-2353",
            "fax_number": "928-269-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DENNIS",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.