Organization Active NPI

Burke Street Chiropractic, PLLC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1316502909
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BURKE STREET CHIROPRACTIC, PLLC
Practice address
1016 Burke St.
Winston-Salem, NC 27101
Phone
(336) 281-2161
Fax
(636) 795-1500
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Kevin Mark Sharp, D.C.NPI 1568458057
Title
President
Phone
(336) 768-7227

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 Primary

Addresses

Primary practice location

1016 Burke St.
Winston-Salem, NC 27101

Mailing address

4622 Country Club Rd - Ste 140
Winston-Salem, NC 27104
Phone (336) 768-7227

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1316502909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD - STE 140",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27104",
            "telephone_number": "336-768-7227",
            "fax_number": "336-768-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BURKE ST.",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-281-2161",
            "fax_number": "636-795-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE STREET CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-768-7227",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.