Active NPI
Joseph Michael Burnham, D.C.
- Chiropractor
- Orange Park, FL
National Provider Identifier
1114248598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9801
- Practice address
- 155 Blanding Blvd
Suite 8
Orange Park, FL 32073-2630 - Phone
- (904) 803-2982
- Fax
- (904) 213-9806
- NPI assigned
- Jun 19, 2010
- Sex
- Male
- Sole proprietor
- No
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 | CH 9801 | FL | Primary |
Addresses
Primary practice location
155 Blanding Blvd
Suite 8
Orange Park, FL 32073-2630
Mailing address
155 Blanding Blvd
Suite 8
Orange Park, FL 32073-2630
Phone (904) 803-2982
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 |
|---|---|---|---|
| CH 9801 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bracken Family Chiropractic Center PA | 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 and National Provider Directory roles.
-
- Chiropractor
- Orange Park, FL
- NPI 1518169309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1114248598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BLANDING BLVD",
"address_2": "SUITE 8",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732630",
"telephone_number": "904-803-2982",
"fax_number": "904-213-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BLANDING BLVD",
"address_2": "SUITE 8",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732630",
"telephone_number": "904-803-2982",
"fax_number": "904-213-9806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-19",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.