Active NPI
Jessica Marie Burckhard, D.C.
- Chiropractor
- Tarrytown, NY
National Provider Identifier
1043405889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011357
- Practice address
- 34 Church St
2E
Tarrytown, NY 10591-4806 - Phone
- (914) 909-6851
- NPI assigned
- Sep 13, 2007
- Last updated
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011357 | NY | Primary |
Addresses
Primary practice location
34 Church St
2E
Tarrytown, NY 10591-4806
Mailing address
34 Church St
2E
Tarrytown, NY 10591-4806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011357 | NY | MD | Chiropractor |
| 011357 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhinebeck Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Rhinebeck, NY
- NPI 1609052059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1043405889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CHURCH ST",
"address_2": "2E",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 CHURCH ST",
"address_2": "2E",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914806",
"telephone_number": "914-909-6851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCKHARD",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.