Active NPI
John E Burke, D.D.S.
- Endodontics
- Eureka, CA
National Provider Identifier
1588875165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 25241
- Practice address
- 2320 23Rd St
Eureka, CA 95501-3231 - Phone
- (707) 442-5719
- Fax
- (707) 442-8261
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 25241 | CA | Primary |
Addresses
Primary practice location
2320 23Rd St
Eureka, CA 95501-3231
Mailing address
2320 23Rd St
Eureka, CA 95501-3231
Phone (707) 442-5719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25241 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588875165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 23RD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013231",
"telephone_number": "707-442-5719",
"fax_number": "707-442-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 23RD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013231",
"telephone_number": "707-442-5719",
"fax_number": "707-442-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "25241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.