Individual provider Active NPI

Jason Neal Burkes, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bethesda, MD
National Provider Identifier
1811187172
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
0101266069 Issued in VA
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

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN 18021FLMDDentist
0438000396VAMDOral and Maxillofacial Surgery (Dentist)
25879TXMDPsychiatric Pharmacist
0101266069VAMDOral & 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.

Verify at the official NPI Registry.