Active NPI
Duane Allen Burks, D.D.S.
- Prosthodontics
- Mansfield, OH
National Provider Identifier
1649473224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 18885
- Practice address
- 370 Cline Ave
Mansfield, OH 44907-1057 - Phone
- (419) 774-9918
- NPI assigned
- Jun 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 18885 | OH | Primary |
Addresses
Primary practice location
370 Cline Ave
Mansfield, OH 44907-1057
Mailing address
370 Cline Ave
Mansfield, OH 44907-1057
Phone (419) 774-9918
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 |
|---|---|---|---|
| 18885 | OH | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649473224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071057",
"telephone_number": "419-774-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071057",
"telephone_number": "419-774-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "DUANE",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OH",
"license": "18885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
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.