Active NPI
Mark Alan Burbey, DDS
- Dentist
- Appleton, WI
National Provider Identifier
1225123425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 507G
- Practice address
- 2422 N Richmond St
Appleton, WI 54956 - Phone
- (920) 739-2400
- Fax
- (920) 739-4695
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 507G | WI | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 507G | WI |
Addresses
Primary practice location
2422 N Richmond St
Appleton, WI 54956
Mailing address
2422 N Richmond St
Appleton, WI 54956
Phone (920) 739-2400
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 |
|---|---|---|---|
| 507G | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Vna Health Systems Inc | 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 and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Neenah, WI
- NPI 1992783856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1225123425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "54956",
"telephone_number": "920-739-2400",
"fax_number": "920-739-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "54956",
"telephone_number": "920-739-2400",
"fax_number": "920-739-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURBEY",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "507G",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "507G",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.