Organization Active NPI

Mallory Burck DDS, PLLC

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1831837764
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MALLORY BURCK DDS, PLLC
Practice address
6825 E Hampden Ave Ste 201
Denver, CO 80224-3036
Phone
(303) 756-6862
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Mallory Burck, DDSNPI 1467948802
Title
Owner/Dentist
Phone
(303) 756-6862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6825 E Hampden Ave Ste 201
Denver, CO 80224-3036

Mailing address

6825 E Hampden Ave Ste 201
Denver, CO 80224-3036
Phone (303) 756-6862

National Provider Directory

National Provider Directory

Locations

6825 E Hampden Ave
Ste 201
Denver, CO 80224
Phone (303) 756-6862

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1831837764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 E HAMPDEN AVE STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243036",
            "telephone_number": "303-756-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 E HAMPDEN AVE STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243036",
            "telephone_number": "303-756-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY BURCK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "BURCK",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-756-6862",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.