Matthew Tyler Burrow, DC
Individual provider Active NPI Chiropractor · Louisburg, KS
NPI 1093416786 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1093416786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-06244 (KS)
- Practice address
- 15 S Broadway St
Louisburg, KS 66053-3613 - Phone
- (913) 837-2910
- NPI assigned
- Mar 10, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
627 NW Mock Ave
Suite B
Blue Springs, MO 64014-2417
Phone (816) 944-1644
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251208003222 | MO | Practitioner - Chiropractic | 1557716792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-06244 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrow Family Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
627 NW Mock Ave
Ste B
Blue Springs, MO 64014
Phone (816) 229-9393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-06244 | KS | Yes |
Addresses
Primary practice location
15 S Broadway St
Louisburg, KS 66053-3613
Mailing address
PO Box 1127
Louisburg, KS 66053-1127
Phone (913) 980-4678
Other providers in Louisburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.