Individual provider Active NPI

William Brent Burchard, D.D.S., M.S.

  • Periodontics
  • Tulsa, OK
National Provider Identifier
1851664205
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4964 Issued in OK
Practice address
2902 S Pittsburg Ave
Tulsa, OK 74114-6133
Phone
(918) 748-8868
Fax
(918) 742-2030
NPI assigned
Feb 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4964 OK Primary

Addresses

Primary practice location

2902 S Pittsburg Ave
Tulsa, OK 74114-6133

Mailing address

2902 S Pittsburg Ave
Tulsa, OK 74114-6133
Phone (918) 748-8868

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)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vaught, Burchard & Assoc. Inc Periodontics Past Accepting new patients
Jordan Pierce DDS Periodontics PastSince Oct 15, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1851664205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 S PITTSBURG AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146133",
            "telephone_number": "918-748-8868",
            "fax_number": "918-742-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 S PITTSBURG AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146133",
            "telephone_number": "918-748-8868",
            "fax_number": "918-742-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHARD",
        "first_name": "WILLIAM",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.