Individual provider Active NPI

Melanie M Burke, DMD

  • General Practice Dentistry
  • Lutherville Timonium, MD
National Provider Identifier
1790856623
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11831 Issued in MD
Practice address
1206 York Road
Suite 200
Lutherville Timonium, MD 21093
Phone
(410) 764-7764
Fax
(443) 835-1118
NPI assigned
Nov 13, 2006
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11831 MD Primary

Addresses

Primary practice location

1206 York Road
Suite 200
Lutherville Timonium, MD 21093

Mailing address

1206 York Road
Suite 200
Lutherville Timonium, MD 21093
Phone (410) 764-7764

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

LicenseStateTypeSpecialty
11831MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie M Burke DMD PA Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1790856623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 YORK ROAD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-764-7764",
            "fax_number": "443-835-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 YORK ROAD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-764-7764",
            "fax_number": "443-835-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MELANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.