The Burnley Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11589 Issued in TX

Legal business name

THE BURNLEY CLINIC

Practice address

3000 Corporate CT
Ste. 100
Flower Mound, TX 75028-2773

Phone

(214) 264-6072

Fax

(877) 335-9334

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Rayna Miles

Title

Billing Agenet

Phone

(817) 932-7066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1124438973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE COURT",
            "address_2": "STE. 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282297",
            "telephone_number": "214-264-6072",
            "fax_number": "877-335-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CT",
            "address_2": "STE. 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282773",
            "telephone_number": "214-264-6072",
            "fax_number": "877-335-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BURNLEY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_title_or_position": "BILLING AGENET",
        "authorized_official_telephone_number": "817-932-7066"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC11589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.