Leo J Burke DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEO J BURKE DDS PC

Practice address

421 W Osage
Pacific, MO 63069-1332

Phone

(636) 257-5515

Fax

(636) 257-4433

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leo Joseph Burke, DDSNPI 1538268602

Title

President

Phone

(636) 257-5515

Specialties & licenses 1

Addresses

Other names 1

• Osage Dental Group Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leo Joseph Burke, DDS

  • General Practice Dentistry
  • Pacific, MO
  • NPI 1538268602
  NPD (past) Authorized official
• William Austin Gillam III, DDS

  • General Practice Dentistry
  • Pacific, MO
  • NPI 1609959618
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386743458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W OSAGE",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-257-5515",
            "fax_number": "636-257-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W OSAGE",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-257-5515",
            "fax_number": "636-257-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO J BURKE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-257-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osage Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Harness
• Elizabeth A Harvath, D.M.D.
• Healthy Balance Chiropractic and Acupuncture LLC
• Christina Marie Huff, D.C.
• Jane E Knerr
• Matthew Ryan Leonard, DPT, DC
• Jeannine Lisa Liebmann, MA. LPC
• Tina Lusk, DNP, APRN, PMHNP-BC
• Debra Kay Lyons, LPC
• Kathleen McAuliffe, DPT

• General Practice Dentistry in Pacific, MO
• Providers in Pacific, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.