Active NPI
Jon M Burch, MD
- Surgery Physician
- Wheat Ridge, CO
National Provider Identifier
1184637365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 32110
- Practice address
- 3455 Lutheran Parkway
#290
Wheat Ridge, CO 80033 - Phone
- (303) 467-1467
- NPI assigned
- Aug 15, 2006
- Last updated
- Feb 23, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 32110 | CO | Primary |
Addresses
Primary practice location
3455 Lutheran Parkway
#290
Wheat Ridge, CO 80033
Mailing address
Post Office Box 3180
Denver, CO 80201
Phone (800) 693-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01321108 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1184637365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 3180",
"city": "DENVER",
"state": "CO",
"postal_code": "80201",
"telephone_number": "800-693-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LUTHERAN PARKWAY",
"address_2": "#290",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "303-467-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "JON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "32110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01321108",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.