Organization Active NPI

Burke Orthodontic Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Burke, VA
National Provider Identifier
1629204334
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401003534 Issued in VA
Legal business name
BURKE ORTHODONTIC ASSOCIATES
Practice address
6045 Burke Centre Pkwy
Suite 202
Burke, VA 22015-3751
Phone
(703) 719-5828
Fax
(703) 691-8877
NPI assigned
Jun 9, 2009
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Lucy Lynn McCabe
Title
GM
Phone
(703) 719-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401003534 VA Primary

Addresses

Primary practice location

6045 Burke Centre Pkwy
Suite 202
Burke, VA 22015-3751

Mailing address

6045 Burke Centre Pkwy
Suite 202
Burke, VA 22015-3751
Phone (703) 719-5828

National Provider Directory

National Provider Directory

Locations

6045 Burke Centre Pkwy
Ste 202
Burke, VA 22015
Phone (703) 250-2208

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1629204334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 BURKE CENTRE PKWY",
            "address_2": "SUITE 202",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153751",
            "telephone_number": "703-719-5828",
            "fax_number": "703-691-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 BURKE CENTRE PKWY",
            "address_2": "SUITE 202",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153751",
            "telephone_number": "703-719-5828",
            "fax_number": "703-691-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "703-719-5828"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401003534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.