Individual provider Active NPI

William Paul Burkhart, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1497752075
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18630 Issued in TX
Practice address
4005 Spicewood Springs Rd Ste A100
Austin, TX 78759-8684
Phone
(512) 499-0212
Fax
(512) 499-0619
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 18630 TX Primary

Addresses

Primary practice location

4005 Spicewood Springs Rd Ste A100
Austin, TX 78759-8684

Mailing address

PO Box 28751
Austin, TX 78755-8751
Phone (512) 657-0157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160722002349 TX Order and Referring Only - DentistPractitioner - Dentist 5496048845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18630TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
City of Austin Past Accepting new patients

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1497752075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28751",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787558751",
            "telephone_number": "512-657-0157",
            "fax_number": "512-499-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 SPICEWOOD SPRINGS RD STE A100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598684",
            "telephone_number": "512-499-0212",
            "fax_number": "512-499-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.