Active NPI
Jason Neal Burkes, MD, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Bethesda, MD
National Provider Identifier
1811187172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 0101266069
- Practice address
- Wrnmmc Oral & Maxillofacial Surgery
8901 Wisconsin Ave
Bethesda, MD 20889-4917 - Phone
- (301) 295-4340
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 18021 | FL | |
| Dentist | 122300000X | 25879 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0438000396 | VA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Q4372 | TX | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 0101266069 | VA | Primary |
Addresses
Primary practice location
Wrnmmc Oral & Maxillofacial Surgery
8901 Wisconsin Ave
Bethesda, MD 20889-4917
Mailing address
970 Oak Tree Rd
Westminster, MD 21157-8216
Phone (248) 495-0519
Other practice location 1
1500 S Main St
Department of Oral & Maxillofacial Surgery
Fort Worth, TX 76104-4917
Phone (817) 920-6936
Other practice location 2
13873 Park Center Rd Ste 137
Herndon, VA 20171-3248
Phone (703) 478-0115
Other practice location 3
7686 Richmond Hwy
Alexandria, VA 22306-2844
Phone (703) 672-2442
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 18021 | FL | MD | Dentist |
| 0438000396 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 25879 | TX | MD | Psychiatric Pharmacist |
| 0101266069 | VA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1811187172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 OAK TREE RD",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211578216",
"telephone_number": "248-495-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRNMMC ORAL & MAXILLOFACIAL SURGERY",
"address_2": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208894917",
"telephone_number": "301-295-4340"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St",
"address_2": "Department of Oral & Maxillofacial Surgery",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-920-6936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13873 Park Center Rd Ste 137",
"address_purpose": "LOCATION",
"city": "Herndon",
"state": "VA",
"postal_code": "201713248",
"country_code": "US",
"telephone_number": "703-478-0115",
"fax_number": "703-478-0115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7686 Richmond Hwy",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223062844",
"country_code": "US",
"telephone_number": "703-672-2442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKES",
"first_name": "JASON",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "MD, DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 18021",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25879",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0438000396",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "Q4372",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "VA",
"license": "0101266069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.