Organization Active NPI

Burke Chiropractic, LLC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1033523345
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6796 Issued in FL
Legal business name
BURKE CHIROPRACTIC, LLC
Practice address
6416 Dr Martin Luther King St N
St Petersburg, FL 33702-6624
Phone
(727) 686-4852
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Dr. James Lowell Burke, D.C.
Title
President
Phone
(727) 686-4852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6796 FL Primary

Addresses

Primary practice location

6416 Dr Martin Luther King St N
St Petersburg, FL 33702-6624

Mailing address

6416 Dr Martin Luther King St N
St Petersburg, FL 33702-6624
Phone (727) 686-4852

Other identifiers 2

IdentifierTypeStateIssuer
380653700MedicaidFL
U51776OtherUPIN

National Provider Directory

National Provider Directory

Locations

6416 Dr Martin Luther King St N
St Petersburg, FL 33702
Phone (727) 525-1141

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1033523345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 DR MARTIN LUTHER KING ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026624",
            "telephone_number": "727-686-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 DR MARTIN LUTHER KING ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026624",
            "telephone_number": "727-686-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-686-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380653700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U51776",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.