Harrison Burkardt

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

21 77TH St N
Malmstrom AFB, MT 59402-7538

Phone

(406) 731-4455

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1902409394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 77TH ST N",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594027538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 77TH ST N",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594027538",
            "telephone_number": "406-731-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKARDT",
        "first_name": "HARRISON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7414 Chestnut St",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594058613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean Michael Batzer, PT, DPT, MS, OCS
• Brett Philip Biernbaum
• Craig Brown, D.M.D.
• Jennifer Eileen Brown
• Nhien Huong Bui
• Jessica Faith Chobot
• Rachael Clark
• Megan Cordeiro, RN
• Mayra Y Corona
• Amber Dawn Dailey, D.D.S.

• Dental Assistant in Malmstrom AFB, MT
• Providers in Malmstrom AFB, MT by specialty
• Dental Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.