Individual provider Active NPI

Susan Pelrine-Burbank, DC

  • Chiropractor
  • South Easton, MA
National Provider Identifier
1174588719
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1934 Issued in MA
Practice address
45 Eastman St
South Easton, MA 02375-1279
Phone
(508) 230-0020
Fax
(508) 230-0021
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1934 MA Primary

Addresses

Primary practice location

45 Eastman St
South Easton, MA 02375-1279

Mailing address

PO Box 44
Easton, MA 02334-0044
Phone (508) 230-0020

Other identifiers 3

IdentifierTypeStateIssuer
Y39243OtherMABCBS OF MA
2148179OtherMAAETNA
351262OtherMAHARVARD

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1174588719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "EASTON",
            "state": "MA",
            "postal_code": "023340044",
            "telephone_number": "508-230-0020",
            "fax_number": "508-230-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EASTMAN ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751279",
            "telephone_number": "508-230-0020",
            "fax_number": "508-230-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELRINE-BURBANK",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y39243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2148179",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "351262",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.