Active NPI
Terry A. Burke, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Middleton, WI
National Provider Identifier
1154330199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5001767
- Practice address
- 7433 Elmwood Ave
Middleton, WI 53562-3105 - Phone
- (608) 831-7799
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5001767 | WI | Primary |
Addresses
Primary practice location
7433 Elmwood Ave
Middleton, WI 53562-3105
Mailing address
7433 Elmwood Ave
Middleton, WI 53562-3105
Phone (608) 831-7799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513 | Other | WI | ADP NUMBER |
| 1008652 | Other | WI | PHYSICIANS PLUS PROVIDER |
| 33360100 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001767 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154330199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7433 ELMWOOD AVE",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623105",
"telephone_number": "608-831-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7433 ELMWOOD AVE",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623105",
"telephone_number": "608-831-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "TERRY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "5001767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADP NUMBER",
"identifier": "513",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS PROVIDER",
"identifier": "1008652",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33360100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.