Organization Active NPI

Dina S Burke MD LLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1457868317
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7511 Issued in NV
Legal business name
DINA S BURKE MD LLC
Practice address
7455 W Washington Ave Ste 422
Las Vegas, NV 89128-4347
Phone
(702) 272-2724
Fax
(702) 445-6977
NPI assigned
Jan 2, 2018
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Dina S Burke, MDNPI 1356314314
Title
Medical Doctor
Phone
(702) 272-2724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7511 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 422
Las Vegas, NV 89128-4347

Mailing address

7455 W Washington Ave Ste 422
Las Vegas, NV 89128-4347
Phone (702) 272-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180129001557 NV Part B Supplier - Clinic/Group Practice 5799045449 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

7455 W Washington Ave
Ste 422
Las Vegas, NV 89128
Phone (702) 272-2724

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17277/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1457868317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 422",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284347",
            "telephone_number": "702-272-2724",
            "fax_number": "702-445-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 422",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284347",
            "telephone_number": "702-272-2724",
            "fax_number": "702-445-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINA S BURKE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "702-272-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "7511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.