Active NPI
Robert Davis Burkhart Jr., DDS
- Dentist
- Orange City, FL
National Provider Identifier
1417047655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 6307
- Practice address
- 258 Treemonte Dr
Orange City, FL 32763 - Phone
- (386) 774-2030
- Fax
- (386) 774-0851
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN 6307 | FL | Primary |
Addresses
Primary practice location
258 Treemonte Dr
Orange City, FL 32763
Mailing address
258 Treemonte Dr
Orange City, FL 32763
Phone (386) 774-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 6307 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417047655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 TREEMONTE DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "32763",
"telephone_number": "386-774-2030",
"fax_number": "386-774-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 TREEMONTE DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "32763",
"telephone_number": "386-774-2030",
"fax_number": "386-774-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "ROBERT",
"middle_name": "DAVIS",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 6307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.