Organization Active NPI

James M. Burkart Family Dentistry

  • General Practice Dentistry
  • Mishawaka, IN
National Provider Identifier
1225417017
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8965 Issued in IN
Legal business name
JAMES M. BURKART FAMILY DENTISTRY
Practice address
13432 McKinley Hwy
Mishawaka, IN 46545-7447
Phone
(574) 255-0035
Fax
(574) 255-7786
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Tracy Burkart
Title
Office Manager
Phone
(574) 255-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8965 IN Primary

Addresses

Primary practice location

13432 McKinley Hwy
Mishawaka, IN 46545-7447

Mailing address

13432 McKinley Hwy
Mishawaka, IN 46545-7447
Phone (574) 255-0035

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1225417017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457447",
            "telephone_number": "574-255-0035",
            "fax_number": "574-255-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457447",
            "telephone_number": "574-255-0035",
            "fax_number": "574-255-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. BURKART FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "BURKART",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "574-255-0035"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.