David Erik Richard Burke, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021670 Issued in MI

Practice address

116 W Main St.
Kingsley, MI 49649

Phone

(231) 642-2042

NPI assigned

Oct 7, 2016

Reactivated

Feb 4, 2020

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Erik Burke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adsum Dental

  dba Acme Dental Health Care & Bellaire Dental Health Care

  • General Practice Dentistry
  • Williamsburg, MI
  • NPI 1942095302
  NPD Authorized official
• Burke Dental, PLLC

  dba Stag Dental

  • Dental Clinic/Center
  • Kingsley, MI
  • NPI 1528565009
  NPD
• Michael C Hutchison PLLC

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1699889592
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1356891865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "49649",
            "telephone_number": "231-642-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST.",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "49649",
            "telephone_number": "231-642-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10850 E Traverse Hwy Ste 2250",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496841319",
            "country_code": "US",
            "telephone_number": "231-946-9644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4620 US 31",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863757",
            "country_code": "US",
            "telephone_number": "231-938-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DAVID",
        "middle_name": "ERIK RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "deactivation_date": "2020-01-06",
        "reactivation_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100621",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIK",
            "last_name": "BURKE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Rose Blust
• Carlene Brown
• Burke Dental, PLLC (Stag Dental)
• Angela Marie Chapin
• Connor Cheung
• Emily Ciabattoni, DPT
• Clear Sky Counseling, P.C.
• Anna Cox

• Dentist in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.