Matthew Thomas Burke, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55267 Issued in CA

Practice address

667 Parker Ave
Rodeo, CA 94572-1434

Phone

(510) 799-4746

Fax

(510) 799-5475

NPI assigned

Jun 22, 2007

Last updated

Oct 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Porteous & Burke Dental Corporation

  • Dentist
  • Rodeo, CA
  • NPI 1417282450
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1477759876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 PARKER AVE",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721434",
            "telephone_number": "510-799-4746",
            "fax_number": "510-799-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 PARKER AVE",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945721434",
            "telephone_number": "510-799-4746",
            "fax_number": "510-799-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23196",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Community Resources, Inc (Mental Health - Rodeo Hills ES)
• Bay Area Night Doulas & Co LLC
• Bay Ride Express
• Tiffany Blackmon
• Bradley Upshaw OD Inc
• Paola Chavez
• Contra Costa County Employment and Human Services-Community Services B (Contra Costa-Head Start)
• Christina Remedios Dedios
• Gaynell Nicole Dodds, RN
• Jerrilee Ann Doss, D.D.S.

• General Practice Dentistry in Rodeo, CA
• Providers in Rodeo, CA by specialty
• General Practice Dentistry in California

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