Organization Active NPI

Val C Burton D C a Chiropractic Corp

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1346434719
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14884 Issued in CA
Legal business name
VAL C BURTON D C A CHIROPRACTIC CORP
Practice address
717 Santa Monica Blvd
Santa Monica, CA 90401-2601
Phone
(310) 451-0848
Fax
(310) 395-8722
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Mrs. Laura L Burton
Title
Office Manager
Phone
(310) 451-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14884 CA Primary

Addresses

Primary practice location

717 Santa Monica Blvd
Santa Monica, CA 90401-2601

Mailing address

717 Santa Monica Blvd
Santa Monica, CA 90401-2601
Phone (310) 451-0848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000398 CA Part B Supplier - Clinic/Group Practice 8325195092 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

717 Santa Monica Blvd
Santa Monica, CA 90401
Phone (310) 451-0848

1425 5th St
Santa Monica, CA 90401
Phone (310) 393-1231

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1346434719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012601",
            "telephone_number": "310-451-0848",
            "fax_number": "310-395-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012601",
            "telephone_number": "310-451-0848",
            "fax_number": "310-395-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL C BURTON D C A CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-451-0848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.