Individual provider Active NPI

Kurt V Burbach, DC

  • Chiropractor
  • Dyersville, IA
National Provider Identifier
1023169299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AO5240 Issued in IA
Practice address
350 1St Ave E
Dyersville, IA 52040-1203
Phone
(563) 875-7340
Fax
(563) 875-2713
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AO5240 IA Primary

Addresses

Primary practice location

350 1St Ave E
Dyersville, IA 52040-1203

Mailing address

350 1St Ave E
Dyersville, IA 52040-1203
Phone (563) 875-7340

Other identifiers 1

IdentifierTypeStateIssuer
24760OtherIAINDIVIDUAL #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000836 IA Practitioner - Chiropractic 5496799199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 1St Ave E
Dyersville, IA 52040-1203
Phone (319) 875-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AO5240IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kvbdcpc Chiropractor CurrentSince Feb 10, 1987 Accepting new patients
Martin Brothers Chiropractic PLLC Chiropractor PastSince Mar 1, 2011 Accepting new patients

Locations

350 1st Ave E
Dyersville, IA 52040
Phone (319) 875-7340

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023169299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 1ST AVE E",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401203",
            "telephone_number": "563-875-7340",
            "fax_number": "563-875-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 1ST AVE E",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401203",
            "telephone_number": "563-875-7340",
            "fax_number": "563-875-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBACH",
        "first_name": "KURT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL #",
            "identifier": "24760",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.