NPIMap

Organization Active NPI

Katie J Burmeister

  • Clinic/Center
  • Flora, IL
National Provider Identifier
1184898512
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KATIE J BURMEISTER
Doing business as
Back to Action Chiropractic Center
Practice address
809 N Main St
Flora, IL 62839-1033
Phone
(618) 662-4828
Fax
(618) 662-4830
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Katie Jeannine Burmeister, D.C.NPI 1871585844
Title
Owner
Phone
(618) 662-4828

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
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

809 N Main St
Flora, IL 62839-1033

Mailing address

PO Box 603
Flora, IL 62839-0603
Phone (618) 662-4828

Other identifiers 1

IdentifierTypeStateIssuer
01332001OtherILBLUECROSS BLUESHIELD

Other names 1

  • Back to Action Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

809 N Main St
Flora, IL 62839
Phone (618) 662-2398

Practitioners & affiliated clinicians

Practitioners 2

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1184898512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628390603",
            "telephone_number": "618-662-4828",
            "fax_number": "618-662-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N MAIN ST",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391033",
            "telephone_number": "618-662-4828",
            "fax_number": "618-662-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE J BURMEISTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BURMEISTER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "JEANNINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-662-4828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01332001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Action Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.