Kelly D Burek DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2000 Issued in MA

Legal business name

KELLY D BUREK DPM PC

Practice address

150 Southampton Rd
Westfield, MA 01085-0123

Phone

(413) 572-1606

Fax

(413) 572-0526

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Dineen Burek, DPMNPI 1023188869

Title

President

Phone

(413) 572-1606

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Burek, DPM

  • Podiatrist
  • Westfield, MA
  • NPI 1023188869
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1801004312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTHAMPTON RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010850123",
            "telephone_number": "413-572-1606",
            "fax_number": "413-572-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTHAMPTON RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010850123",
            "telephone_number": "413-572-1606",
            "fax_number": "413-572-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY D BUREK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "BUREK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DINEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-572-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y77311",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley A Keane I, ED.D., BCBA
• Christine M Keenan, LDN
• Joseph P Keenan, M.D.
• Meghan Abigail Kelley
• Kelly Burek DPM PC
• Marybeth S Kelly, PAC
• Tamie Kelsey-West, LMHC
• Jennifer Kendall
• Shantilal Kenia, M.D., FACC
• Kens'Eyewear Inc.

• Podiatrist in Westfield, MA
• Providers in Westfield, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.