Mallory Paige Burck, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203626 Issued in CO

Practice address

3380 W 38TH Ave
Denver, CO 80211-1910

Phone

(303) 458-1361

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Paige Baum Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mallory Burck DDS, PLLC

  • General Practice Dentistry
  • Denver, CO
  • NPI 1831837764
  NPD Authorized official
• Edgewater Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Edgewater, CO
  • NPI 1780962589
  NPD (past)
• Highlands Dentists, LLP

  • General Practice Dentistry
  • Denver, CO
  • NPI 1124498167
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1467948802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115052",
            "telephone_number": "682-554-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111910",
            "telephone_number": "303-458-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Sheridan Blvd Unit F",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "CO",
            "postal_code": "802141315",
            "country_code": "US",
            "telephone_number": "303-202-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCK",
        "first_name": "MALLORY",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mallory.burck@pacden.com",
            "affiliation": "N",
            "address_1": "1921 Sheridan Blvd Unit F",
            "city": "Edgewater",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802141315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "BAUM",
            "middle_name": "PAIGE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly A Burch, LCSW
• Stevie Burch, BCBA
• Clare A Burchenal, MD
• Christopher Burchett, D.M.D.
• Nohemi Elizabeth Burciaga, LCSW
• Jessica Burden
• Brooke Burdette, COTA/L
• Jane Burdette
• Jonathan Burdick, MD
• Brandon Douglas Burelle, PMHMP-BC

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.