Burke Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

802133003 Issued in MI

Legal business name

BURKE DENTAL, PLLC

Practice address

116 W Main St
Kingsley, MI 49649-5109

Phone

(231) 642-2042

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Erik Richard Burke, DDS, GPR

Title

Owner/Doctor

Phone

(231) 642-2042

Specialties & licenses 1

Addresses

Other names 1

• Stag Dental Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Adsum Dental

  • General Practice Dentistry
  • Williamsburg, MI
  • NPI 1942095302
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Erik Richard Burke, DDS

  • Dentist
  • Kingsley, MI
  • NPI 1356891865
  NPD

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1528565009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496490518",
            "telephone_number": "231-642-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MAIN ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496495109",
            "telephone_number": "231-642-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DAVID ERIK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "231-642-2042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, GPR"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "802133003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stag Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rose Blust
• Carlene Brown
• David Erik Richard Burke, DDS
• Angela Marie Chapin
• Connor Cheung
• Emily Ciabattoni, DPT
• Clear Sky Counseling, P.C.

• Dental Clinic/Center in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.