Individual provider Active NPI

El-Cid V. Burkett, DDS

  • Dentist
  • Birmingham, AL
National Provider Identifier
1275810178
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8064 Issued in KY
Practice address
1108 Northwood Dr
Birmingham, AL 35217-2267
Phone
(205) 441-3428
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8064 KY Primary

Addresses

Primary practice location

1108 Northwood Dr
Birmingham, AL 35217-2267

Mailing address

1108 Northwood Dr
Birmingham, AL 35217-2267
Phone (205) 441-3428

Other names 1

  • Dr. El-Cid V. Burkett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160826001717 AL Order and Referring Only - Other (Non-Physician) 1254626435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8064KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1275810178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 NORTHWOOD DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352172267",
            "telephone_number": "205-441-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NORTHWOOD DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352172267",
            "telephone_number": "205-441-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "EL-CID",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EL-CID",
            "last_name": "BURKETT",
            "middle_name": "V.",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.