Active NPI
David Edward Burkhardt, D.D.S.
- Dentist
- Charlotte, NC
National Provider Identifier
1750339206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7726
- Practice address
- 1601 Abbey Place
Suite 130, Building 1
Charlotte, NC 28209-3825 - Phone
- (704) 512-2510
- Fax
- (704) 512-2511
- NPI assigned
- May 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7726 | NC | Primary |
| Dentist | 122300000X | 2618 | WV |
Addresses
Primary practice location
1601 Abbey Place
Suite 130, Building 1
Charlotte, NC 28209-3825
Mailing address
4400 Early St
#10078
Columbia, SC 29207-7009
Phone (803) 467-0246
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0776 | NC | MD | Clinical Psychologist |
| 2618 | WV | MD | Internal Medicine Physician |
| 7726 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1750339206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 EARLY ST",
"address_2": "#10078",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292077009",
"telephone_number": "803-467-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 ABBEY PLACE",
"address_2": "SUITE 130, BUILDING 1",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093825",
"telephone_number": "704-512-2510",
"fax_number": "704-512-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "DAVID",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7726",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2618",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.