Active NPI
John Alan Burwinkel
- Dentist
- Lima, OH
National Provider Identifier
1801174420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-023533
- Practice address
- 3292 Elida Rd
Lima, OH 45805-1249 - Phone
- (419) 228-5000
- NPI assigned
- Jul 31, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30-023533 | OH | Primary |
Addresses
Primary practice location
3292 Elida Rd
Lima, OH 45805-1249
Mailing address
46 Greentree Cir
Cridersville, OH 45806-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170123003061 | OH | Order and Referring Only - Other (Physician) | 4183906357 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023533 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312070400000",
"number": "1801174420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 GREENTREE CIR",
"city": "CRIDERSVILLE",
"state": "OH",
"postal_code": "458062280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3292 ELIDA RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458051249",
"telephone_number": "419-228-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURWINKEL",
"first_name": "JOHN",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-31",
"last_updated": "2011-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-023533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.