Individual provider Active NPI

John L. Burley, D.C.

  • Neurology Chiropractor
  • Joelton, TN
National Provider Identifier
1215969845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC0000001465 Issued in TN
Practice address
205 Gifford Place
Joelton, TN 37080
Phone
(615) 876-9936
Fax
(615) 876-9908
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC0000001465 TN Primary

Addresses

Primary practice location

205 Gifford Place
Joelton, TN 37080

Mailing address

205 Gifford Place
Joelton, TN 37080
Phone (615) 876-9936

Other identifiers 3

IdentifierTypeStateIssuer
6850315OtherTNCIGNA
4056858OtherTNBLUECROSS BLUESHIELD
4402093OtherTNMEDICARE COMPLETE

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

State licenses

LicenseStateTypeSpecialty
DC0000001465TNMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Crest Chiropractic PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215969845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GIFFORD PLACE",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "37080",
            "telephone_number": "615-876-9936",
            "fax_number": "615-876-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GIFFORD PLACE",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "37080",
            "telephone_number": "615-876-9936",
            "fax_number": "615-876-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TN",
            "license": "DC0000001465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6850315",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4056858",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "4402093",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joelton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.