Individual provider Active NPI

Ryan Burke, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1053798124
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010275 Issued in MI
Practice address
2345 S Huron Pkwy
Ann Arbor, MI 48104-5124
Phone
(734) 973-6898
Fax
(734) 973-0926
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010275 MI Primary

Addresses

Primary practice location

2345 S Huron Pkwy
Ann Arbor, MI 48104-5124

Mailing address

2345 S Huron Pkwy
Ann Arbor, MI 48104-5124
Phone (734) 973-6898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000315 MI Practitioner - Chiropractic 4587976154 Reassigns benefits to 1 organization
Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 S Huron Pkwy
Suite 1B
Ann Arbor, MI 48104-5133
Phone (734) 973-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Chiropractic and Massage Center PLLC Chiropractor CurrentSince Jul 12, 2018 Accepting new patients
Burke Chiropractic P.C. Chiropractor Past Accepting new patients
Philip H Kresch DPM PC PastSince Nov 1, 2014 Accepting new patients

Locations

2301 S Huron Pkwy
Ste 1B
Ann Arbor, MI 48104
Phone (734) 677-0710

2345 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 973-3030

Organizations & group practices 3

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1053798124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045124",
            "telephone_number": "734-973-6898",
            "fax_number": "734-973-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045124",
            "telephone_number": "734-973-6898",
            "fax_number": "734-973-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.