NPIMap

Organization Active NPI

Burleson Chiropractic, P.C.

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1154486264
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BURLESON CHIROPRACTIC, P.C.
Practice address
807 Wilson Ave
Daphne, AL 36526-4221
Phone
(251) 626-9898
Fax
(251) 626-9901
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Michael Lane Burleson, D.C.NPI 1023173085
Title
Owner
Phone
(251) 626-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

807 Wilson Ave
Daphne, AL 36526-4221

Mailing address

807 Wilson Ave
Daphne, AL 36526-4221
Phone (251) 626-9898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102001195 AL Part B Supplier - Clinic/Group Practice 8123046794 Receives reassigned benefits from 3 practitioners
Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Locations

807 Wilson Ave
Daphne, AL 36526
Phone (251) 626-9898

23800 US Highway 98
Bldg A2
Fairhope, AL 36532
Phone (251) 626-9898

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1154486264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WILSON AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264221",
            "telephone_number": "251-626-9898",
            "fax_number": "251-626-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WILSON AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264221",
            "telephone_number": "251-626-9898",
            "fax_number": "251-626-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "BURLESON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-626-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.