NPIMap

Organization Active NPI

Burke Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, UT
National Provider Identifier
1184938243
Registry record updated Jul 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7598338-9921 Issued in UT
Legal business name
BURKE ORTHODONTICS, PLLC
Practice address
817 W Wiltshire St
Washington, UT 84780-8552
Phone
(435) 632-9742
NPI assigned
Jul 31, 2010
Last updated
Jul 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2010

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

Authorized official

Name
Brandon Glen Burke, D.D.S, M.S.DNPI 1215249982
Title
Owner/Manager
Phone
(435) 632-9742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7598338-9921 UT Primary

Addresses

Primary practice location

817 W Wiltshire St
Washington, UT 84780-8552

Mailing address

817 W Wiltshire St
Washington, UT 84780-8552
Phone (435) 632-9742

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280534400000",
    "number": "1184938243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W WILTSHIRE ST",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808552",
            "telephone_number": "435-632-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W WILTSHIRE ST",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808552",
            "telephone_number": "435-632-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-31",
        "last_updated": "2010-07-31",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "435-632-9742",
        "authorized_official_credential": "D.D.S, M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "7598338-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2010; 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.