Travis Burk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NA Issued in ID

Practice address

3235 N Towerbridge Way
Meridian, ID 83646-5721

Phone

(208) 888-7711

NPI assigned

May 29, 2017

Last updated

May 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jendy PLLC

  dba The KIds Dentist and Orthodontics

  • Pediatric Dentistry
  • Meridian, ID
  • NPI 1205330420
  NPD (past)

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496016000000",
    "number": "1528596046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8339 SW SHAWMUT DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N TOWERBRIDGE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465721",
            "telephone_number": "208-888-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "TRAVIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2017-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jordan Bull
• Stephanie Maureen Burdick
• Erin M Burgess, LPC
• Cadence Noelle Burgin
• Joanne Citron Burgio, PH.D.
• Louis A Burke, PA-C
• Mary Burke
• Sharon Kay Burke
• Corbin Andrew Burkett, LCPC
• Ashley Burks

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; 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.