Active NPI
Hartland Pediatric Dentistry
- Pediatric Dentistry
- Hartland, MI
National Provider Identifier
1558139352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- HARTLAND PEDIATRIC DENTISTRY
- Practice address
- 11030 Highland Rd
Hartland, MI 48353 - Phone
- (810) 207-0383
- NPI assigned
- Dec 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashley Elizabeth Burke, DDS
- Title
- Pediatric Dentist
- Phone
- (810) 513-5026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
11030 Highland Rd
Hartland, MI 48353
Mailing address
9323 Englishman Dr
Fenton, MI 48430
Phone (810) 513-5026
National Provider Directory
National Provider DirectoryLocations
11030 Highland Rd
Hartland, MI 48353
Phone (810) 207-0383
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Detroit, MI
- NPI 1831571090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1558139352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9323 ENGLISHMAN DR",
"city": "FENTON",
"state": "MI",
"postal_code": "48430",
"telephone_number": "810-513-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11030 HIGHLAND RD",
"city": "HARTLAND",
"state": "MI",
"postal_code": "48353",
"telephone_number": "810-207-0383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTLAND PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "810-513-5026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.