Individual provider Active NPI

Sharon Louise Burocchi, DDS PLC

  • General Practice Dentistry
  • Grand Rapids, MI
National Provider Identifier
1457306490
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16813 Issued in MI
Practice address
2300 Three Mile Rd NE
Grand Rapids, MI 49505
Phone
(616) 365-8699
Fax
(616) 365-8795
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16813 MI Primary

Addresses

Primary practice location

2300 Three Mile Rd NE
Grand Rapids, MI 49505

Mailing address

2300 Three Mile Rd NE
Grand Rapids, MI 49505
Phone (616) 365-8699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519002049 MI Order and Referring Only - DentistPractitioner - Dentist 9032408752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16813MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon L Burocchi DDS PLC Current Accepting new patients

Locations

2300 3 Mile Rd NE
Grand Rapids, MI 49505
Phone (616) 363-3712

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457306490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 THREE MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49505",
            "telephone_number": "616-365-8699",
            "fax_number": "616-365-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 THREE MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49505",
            "telephone_number": "616-365-8699",
            "fax_number": "616-365-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUROCCHI",
        "first_name": "SHARON",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS PLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.