Travis Dean Burkett, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5939 Issued in OK

Practice address

1226 W Broadway
Drumright, OK 74030

Phone

(918) 352-3312

Fax

(918) 352-2681

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in OK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tburkett169373@ahs.direct-ci.com

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.

• Ahs Cushing Hospital LLC

  • General Acute Care Hospital
  • Cushing, OK
  • NPI 1801867643
  NPD (past)
• Sleep Impressions, LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1134547912

  Dentist

  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982808291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740300712",
            "telephone_number": "918-352-3312",
            "fax_number": "918-352-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W BROADWAY",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "74030",
            "telephone_number": "918-352-3312",
            "fax_number": "918-352-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "TRAVIS",
        "middle_name": "DEAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Beymer, D.O.
• Bill Crow, Crna, PC
• Douglas Brant Jr., D.O.
• Bristow Endeavor Healthcare, LLC
• Terrence Terrill Buckner
• Cah Acquisition Company 4 Inc
• Cah Acquisition Company 4 Inc
• Cah Acquisition Company 4 Inc
• Carolyn McElroy Counseling LLC
• Billy Don Crow Jr., CRNA

• All providers in Drumright, OK
• Dentist in Oklahoma

• 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.