Individual provider Active NPI

Darryl Donald Burke, DDS

  • Dentist
  • Concord, CA
National Provider Identifier
1710062930
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41591 Issued in CA
Practice address
2975 Treat Blvd Ste A1
Concord, CA 94518-3690
Phone
(925) 691-0238
Fax
(925) 691-0213
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41591 CA Primary

Addresses

Primary practice location

2975 Treat Blvd Ste A1
Concord, CA 94518-3690

Mailing address

2975 Treat Blvd Ste A1
Concord, CA 94518-3690
Phone (925) 691-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 15, 2016 through Nov 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41591CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Darryl D Burke DDS PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1710062930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD STE A1",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183690",
            "telephone_number": "925-691-0238",
            "fax_number": "925-691-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD STE A1",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183690",
            "telephone_number": "925-691-0238",
            "fax_number": "925-691-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DARRYL",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.