Rebirth Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1742 Issued in LA

Legal business name

REBIRTH CHIROPRACTIC LLC

Practice address

1700 Williams Blvd
Kenner, LA 70062-6262

Phone

(504) 469-1371

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lyle Burkhardt

Title

Partner

Phone

(504) 469-1371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris McKeown, D.C.

  • Chiropractor
  • Kenner, LA
  • NPI 1669853495
  Medicare reassignment

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1053792572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626262",
            "telephone_number": "504-469-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "BURKHARDT",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-469-1371",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharel Dianna Randolph, DNP, APRN, FNP-C
• Raul G. Reyes MD AMC
• Lindsey Ray, NP
• Geneice Rayneri
• Marciano Raziano, FNP-C
• Red Elephant Therapy and Consultations LLC
• Rebecca Cortez Redler, RN
• Patricia Alexis Reed, PHYSICIAN ASSISTANT
• Rene Reed, LMT, MLD-C, CPT
• Regine Dyer DDS,LLC & Matthew Henson DDS, LLC

• Chiropractor in Kenner, LA
• Providers in Kenner, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.