Individual provider Active NPI

Burak Taskonak, D.D.S., PH.D.

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1225293244
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18452 Issued in FL
Practice address
2801 N University Dr
Suite 202
Coral Springs, FL 33065-5057
Phone
(954) 227-8133
Fax
(954) 227-8132
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18452 FL Primary

Addresses

Primary practice location

2801 N University Dr
Suite 202
Coral Springs, FL 33065-5057

Mailing address

2801 N University Dr. #202
Coral Springs, FL 33065-5053
Phone (954) 227-8133

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DN18452FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1225293244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N UNIVERSITY DR. #202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655053",
            "telephone_number": "954-227-8133",
            "fax_number": "954-227-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N UNIVERSITY DR",
            "address_2": "SUITE 202",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655057",
            "telephone_number": "954-227-8133",
            "fax_number": "954-227-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKONAK",
        "first_name": "BURAK",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.