Active NPI
Garrett Roy Burkhart, DDS
- General Practice Dentistry
- Citrus Heights, CA
National Provider Identifier
1891879425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42035
- Practice address
- 6406 Acd Sunrise Blvd
Citrus Heights, CA 95610 - Phone
- (916) 727-1880
- NPI assigned
- Oct 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42035 | CA | Primary |
Addresses
Primary practice location
6406 Acd Sunrise Blvd
Citrus Heights, CA 95610
Mailing address
1205 Albrighton Dr
Folsom, CA 95630-3701
Phone (916) 984-5205
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42035 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891879425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 ALBRIGHTON DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303701",
"telephone_number": "916-984-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6406 ACD SUNRISE BLVD",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "95610",
"telephone_number": "916-727-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "GARRETT",
"middle_name": "ROY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.