Burl Bert Buskirk Jr., DDS, MA, CDP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CP60058536 Issued in WA

Practice address

3214 50TH Street Court
Suite 305
Gig Harbor, WA 98335-8589

Phone

(253) 851-4600

Fax

(253) 851-4602

NPI assigned

Jul 14, 2006

Last updated

Aug 19, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Peninsula Counseling, LLC

  dba Peninsula Counseling

  • Community/Behavioral Health Agency
  • Gig Harbor, WA
  • NPI 1972085835
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1407872237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 50TH STREET COURT",
            "address_2": "SUITE 305",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358589",
            "telephone_number": "253-851-4600",
            "fax_number": "253-851-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 50TH STREET COURT",
            "address_2": "SUITE 305",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358589",
            "telephone_number": "253-851-4600",
            "fax_number": "253-851-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKIRK",
        "first_name": "BURL",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MA, CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CP60058536",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burl Pettibon
• Shannon Burman, RD
• Larissa Burton, MSN, ARNP
• Elton Ray Busby, LMP
• Tara Rose Buschor, DO
• Sarah Buskirk, DPT
• Lucas Christopher Butler, M.D.
• Brittany Jean Buzard, LMP
• Erin Lynn Buzzard, OTR/L
• Daniel R Byrne, D.M.D. P.S.

• Counselor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.