Mark J. Buratti, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3321 Issued in WI

Practice address

4707 Washington Road
Kenosha, WI 53144

Phone

(262) 658-9140

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenosha Oral Surgery, S.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Kenosha, WI
  • NPI 1710160486
  NPD (past)
• South East Wisconsin Endodontic Associates

  • Endodontics
  • Kenosha, WI
  • NPI 1871616888
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881717890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 WASHINGTON ROAD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "262-658-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 WASHINGTON ROAD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "262-658-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURATTI",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Marie Buchholtz
• Leela Buddaraju
• Ernesto Erfe Buencamino, MD
• Christine Ann Buffone, M.P.T.
• Kendall Alexis Bunnell
• Rebecca J Burchi
• Rebecca J Burda, LCSW
• Robert Andrew Burdi II, DPM
• Aaron Buresh, PHARMD
• Nicole Burnett, DNP, APNP, FNP-BC

• Endodontics in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.