Jeffry Adam Burke, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401415562 Issued in VA

Practice address

24 Tinker Mill Rd
Daleville, VA 24083-3716

Phone

(540) 992-1020

NPI assigned

Mar 5, 2012

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

Locations

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.

• Jeffry a. Burke, DMD, PLLC

  dba Daleville Family Denistry

  • Dental Clinic/Center
  • Daleville, VA
  • NPI 1093244105
  NPD Authorized official

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1508130865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240830204",
            "telephone_number": "864-903-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TINKER MILL RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833716",
            "telephone_number": "540-992-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Air Depot Blvd",
            "address_purpose": "LOCATION",
            "city": "Tinker AFB",
            "state": "OK",
            "postal_code": "731458716",
            "country_code": "US",
            "telephone_number": "864-903-9731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JEFFRY",
        "middle_name": "ADAM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8084GD",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Botetourt Chiropractic
• Botetourt Health Care, LLC (Carrington Place @ Botetourt Commons)
• Botetourt Physical Therapy LLC
• Botetourt SNF Operations LLC (Daleville Health & Rehabilitation)
• Connie Brooks, NP-C
• Jourdan Paige Bushman
• Calming Waters Counseling LLC
• Anja Campbell, FNP
• Morgan Kay Champagne, D.C.
• Morgan Rea Chandler, OTR/L

• Dentist in Daleville, VA
• Providers in Daleville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.