Individual provider Active NPI

Mark B Burdorf, D.C.

  • Neurology Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1073791885
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
4423 Issued in AZ
Practice address
8140 E Cactus Rd
Suite 730
Scottsdale, AZ 85260-5268
Phone
(480) 951-5006
Fax
(480) 951-1588
NPI assigned
Feb 4, 2008
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 4423 AZ Primary

Addresses

Primary practice location

8140 E Cactus Rd
Suite 730
Scottsdale, AZ 85260-5268

Mailing address

8140 E Cactus Rd
Suite 730
Scottsdale, AZ 85260-5268
Phone (480) 951-5006

Other identifiers 2

IdentifierTypeStateIssuer
AZ0930740OtherAZBCBS
AW2655OtherAZHEALTH NET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001251 AZ Practitioner - Chiropractic 2365331741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8140 E Cactus Rd
Suite 730
Scottsdale, AZ 85260-5267
Phone (481) 951-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4423AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark B Burdorf PC Neurology CurrentSince Jan 1, 2000 Accepting new patients

Locations

8140 E Cactus Rd
Scottsdale, AZ 85260
Phone (481) 951-5008

8140 E Cactus Rd
Ste 730
Scottsdale, AZ 85260
Phone (480) 951-5006

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1073791885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 E CACTUS RD",
            "address_2": "SUITE 730",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605268",
            "telephone_number": "480-951-5006",
            "fax_number": "480-951-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 E CACTUS RD",
            "address_2": "SUITE 730",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605268",
            "telephone_number": "480-951-5006",
            "fax_number": "480-951-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDORF",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "4423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0930740",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "AW2655",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.