Organization Active NPI

Burik Chiropractic, Inc.

  • Chiropractor
  • Carrollton, OH
National Provider Identifier
1164610051
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1839 Issued in OH
Legal business name
BURIK CHIROPRACTIC, INC.
Practice address
1244 Canton Rd NW
Carrollton, OH 44615-9453
Phone
(330) 627-7112
Fax
(330) 627-3876
NPI assigned
Oct 4, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Douglas Burik, D.C.NPI 1811002637
Title
President
Phone
(330) 627-7112

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
Chiropractor 111N00000X 1839 OH Primary

Addresses

Primary practice location

1244 Canton Rd NW
Carrollton, OH 44615-9453

Mailing address

1244 Canton Rd NW
Carrollton, OH 44615-9453
Phone (330) 627-7112

Other identifiers 4

IdentifierTypeStateIssuer
BU4039821OtherMEDICARE (OHIO)
U37177OtherUPIN
U37177MedicaidOH
000000187268OtherANTHEM OF OHIO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071009000493 OH Part B Supplier - Clinic/Group Practice 0648365411 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, OH

National Provider Directory

National Provider Directory

Locations

1035 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-7112

1244 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1164610051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 CANTON RD NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159453",
            "telephone_number": "330-627-7112",
            "fax_number": "330-627-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CANTON RD NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159453",
            "telephone_number": "330-627-7112",
            "fax_number": "330-627-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURIK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "BURIK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-627-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (OHIO)",
            "identifier": "BU4039821",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U37177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U37177",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF OHIO",
            "identifier": "000000187268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.