Organization Active NPI

Julie Ann Burke

  • Chiropractor
  • Newton Upper Falls, MA
National Provider Identifier
1295747558
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
115 Issued in MA
Legal business name
JULIE ANN BURKE
Practice address
383 Elliot St
Suite 250
Newton Upper Falls, MA 02464-1126
Phone
(617) 964-3332
Fax
(617) 332-7601
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Julie Ann Burke, D.C.NPI 1740292192
Title
Owner
Phone
(617) 964-3332

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 SINGLE SPECIALTY GROUP 111N00000X 115 MA Primary

Addresses

Primary practice location

383 Elliot St
Suite 250
Newton Upper Falls, MA 02464-1126

Mailing address

383 Elliot St
Suite 250
Newton Upper Falls, MA 02464-1126
Phone (617) 964-3332

Other identifiers 1

IdentifierTypeStateIssuer
Y39460OtherMABLUECROSS BLUESHIELD

Other names 1

  • Newton Chiropractic Centre Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000050 MA Part B Supplier - Clinic/Group Practice 0244303428 Receives reassigned benefits from 3 practitioners
Practice locations: Newton Upper Falls, MA

National Provider Directory

National Provider Directory

Locations

383 Elliot St
Ste 250
Newton Upper Falls, MA 02464
Phone (617) 564-4600

Practitioners 7

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1295747558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 ELLIOT ST",
            "address_2": "SUITE 250",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641126",
            "telephone_number": "617-964-3332",
            "fax_number": "617-332-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 ELLIOT ST",
            "address_2": "SUITE 250",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641126",
            "telephone_number": "617-964-3332",
            "fax_number": "617-332-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ANN BURKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-964-3332",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Y39460",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Chiropractic Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton Upper Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.