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Deactivated NPI 1356891865 Deactivated / Inactive NPI Male Practitioner

Dr. David Erik Richard Burke , DDS

Dentist • Kingsley, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Burke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 07, 2016
NPI Deactivation Date January 06, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Burke, DDS was a registered Dentist practicing in Kingsley, MI. Throughout an active medical career spanning 4 years, Dr. Burke provided care at the practice location at 116 W MAIN ST. until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

116 W Main St.

Kingsley, MI 49649

Telephone 2316422042
Associated Practice Facility / Clinic
🏢 Burke Dental, Pllc Facility NPI 1528565009

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Kingsley, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Kingsley, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901021670

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 100621

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

4620 Us 31

Traverse City, MI 496863757

Phone: 2319389600

10850 E Traverse Hwy Ste 2250

Traverse City, MI 496841319

Phone: 2319469644

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

22 Historical Events
📍
Updated Practice Location February 04, 2020

Registered at 116 W MAIN ST., KINGSLEY, MI 49649 (Tel: 2316422042)

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Updated Business Mailing Address February 04, 2020

Registered at PO BOX 518, KINGSLEY, MI 49649 (Tel: 2316422042)

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Provider Name / Credentials Updated February 04, 2020

Recorded as DAVID BURKE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2020

Dentist (License #2901021670 in MI)

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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 13, 2018

Registered at 147 N SAINT JOSEPH ST, LAKE LEELANAU, MI 496538428 (Tel: 2312569142)

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Updated Business Mailing Address February 13, 2018

Registered at 147 N SAINT JOSEPH ST, LAKE LEELANAU, MI 496538428 (Tel: 2312569142)

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Provider Name / Credentials Updated February 13, 2018

Recorded as DAVID ERIK BURKE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2018

Dentist (License #2901021670 in MI)

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Updated Practice Location July 11, 2017

Registered at 10850 E TRAVERSE HWY STE 2250, TRAVERSE CITY, MI 496841319 (Tel: 2319469644)

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Updated Business Mailing Address July 11, 2017

Registered at 6645 E SHORE RD, TRAVERSE CITY, MI 496861822 (Tel: (231) 735-3715)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2017

Dentist (License #100621 in CA)

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Updated Practice Location May 15, 2017

Registered at 421 SECOND ST, TRAVERSE CITY, MI 496842004 (Tel: (231) 922-0775)

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Updated Business Mailing Address May 15, 2017

Registered at 421 SECOND ST, TRAVERSE CITY, MI 49684 (Tel: (231) 922-0775)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2017

Dentist (License #2901021670 in MI)

NPI Profile Active October 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2016

Registered at 525 BOLLINGER CANYON WAY STE 105, SAN RAMON, CA 945824935 (Tel: 9257353838)

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Updated Business Mailing Address October 07, 2016

Registered at 525 BOLLINGER CANYON WAY STE 105, SAN RAMON, CA 945824935 (Tel: 9257353838)

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Provider Name / Credentials Updated October 07, 2016

Recorded as DAVID BURKE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2016

Dentist (License #100621 in CA)

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Initial NPI Registration & Enumeration October 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356891865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2016
Last Update: February 04, 2020
Deactivation Date: January 06, 2020
Sole Proprietor: No

Mailing Address

Po Box 518

Kingsley, MI 49649

Phone: 2316422042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.