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DR. EMILY BOURKE DDS
NPI 1003507914
Dentist in El Reno, OK

Active since May 19, 2023PECOS Enrolled
1801 PARKVIEW DR, EL RENO, OK 73036(405) 295-1500 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Emily Bourke Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY BOURKE DDS (NPI 1003507914) is an individual dentist in El Reno, Oklahoma, licensed in Oklahoma (7692) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003507914
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. EMILY BOURKECredential: DDS
Location Address1801 PARKVIEW DREl Reno, OK 73036-2103
Mailing Address4420 Jordan AveEdmond, OK 73013-4740 · (405) 315-3758
Phone(405) 295-1500
Sole ProprietorNo
Enumeration DateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1003507914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 7692
Definition
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.
1801 PARKVIEW DR, El Reno, OK 73036
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emily Bourke Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Emily Bourke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Reno Indian Health Center
2.8 mi
Public Health or Welfare
1631 A EAST HWY 66
El Reno, OK 73036
  • Reassigned Medicare billing, Texas enrollment
  • 153 clinicians in this Medicare group
NPI 1386725604 (405) 262-7631
Watonga Indian Health Center
33 mi
Public Health or Welfare
RR 1 BOX 34A
Watonga, OK 73772
  • Reassigned Medicare billing, Texas enrollment
  • 96 clinicians in this Medicare group
NPI 1558458794 (580) 623-4991
Clinton Indian Health Center
56 mi
Public Health, Federal
10321 N 2274 RD
Clinton, OK 73601
  • Reassigned Medicare billing, Texas enrollment
  • 156 clinicians in this Medicare group
NPI 1205923448 (580) 331-3404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA MORGAN BROYLES
Physician Assistant
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 295-1500
ANTONY D. ANDERSON, M.D., PLLC
Internal Medicine
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 422-3177
MS. JEANINE SEGER
Social Worker
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 295-1500
CHRISTOPHER BENNEFIELD PHARM.D.
Pharmacist
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 295-1560
WILLIAM KWABENA TORDZRO MD PLLC
Family Medicine
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 329-7300
GRACE BRZOZOWSKI PA-C
Physician Assistant
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 295-1500
DR. BETHANY GRACE JOHNSON PHARMD
Pharmacist
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 234-8422
SARA COLLINS PHARMD
Pharmacist
1801 PARKVIEW DR
EL RENO, OK 73036
Canadian County (405) 234-8422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Bourke's NPI number?

The NPI number for Emily Bourke is 1003507914. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Emily Bourke located?

Emily Bourke practices at 1801 Parkview Dr, El Reno, OK 73036. The listed phone number is (405) 295-1500.

What is Emily Bourke's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Emily Bourke enrolled in Medicare?

Yes. Emily Bourke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Bourke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Bourke reassigns Medicare benefits to 3 organizations: El Reno Indian Health Center (El Reno, OK), Watonga Indian Health Center (Watonga, OK) and Clinton Indian Health Center (Clinton, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Bourke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Bourke was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.