Active NPI
John Richard Burke, DDS
- General Practice Dentistry
- Spokane Valley, WA
National Provider Identifier
1265581979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6275
- Practice address
- 1502 N Vercler Rd
Spokane Valley, WA 99216-1078 - Phone
- (509) 444-8888
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6275 | WA | Primary |
Addresses
Primary practice location
1502 N Vercler Rd
Spokane Valley, WA 99216-1078
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Other practice location 1
919 N Pines Rd
Spokane Valley, WA 99206-4932
Phone (509) 924-0381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5008123 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170829004288 | WA | Order and Referring Only - Dentist | 8527331313 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6275 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Ryan a Bushman DMD & Chase D Davis DDS PLLC | General Practice | Past | Accepting new patients |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients |
Interoperability endpoints
- john.burke.1@11411.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane Valley, WA
- NPI 1184018954
-
- Federally Qualified Health Center (FQHC)
- Cheney, WA
- NPI 1205385465
-
- Federally Qualified Health Center (FQHC)
- Deer Park, WA
- NPI 1336368182
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1386862134
-
- Federally Qualified Health Center (FQHC)
- Clarkston, WA
- NPI 1427379460
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1437360344
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1790050862
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1841419603
-
- General Practice Dentistry
- Spokane Valley, WA
- NPI 1871144212
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1265581979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888",
"fax_number": "509-893-9485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N VERCLER RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161078",
"telephone_number": "509-444-8888"
}
],
"practiceLocations": [
{
"address_1": "919 N Pines Rd",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992064932",
"country_code": "US",
"telephone_number": "509-924-0381",
"fax_number": "509-893-9485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "6275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5008123",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.