Organization Active NPI

Thorburn Chiropractic & Wellness Center Inc.

  • Clinic/Center
  • Burbank, CA
National Provider Identifier
1346796729
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC12296 Issued in CA
Legal business name
THORBURN CHIROPRACTIC & WELLNESS CENTER INC.
Practice address
1612 W Burbank Blvd
Burbank, CA 91506-1311
Phone
(818) 841-1313
Fax
(818) 841-3340
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Charlene Beddard Thorburn, D.C., R.N.NPI 1134299761
Title
Business Owner
Phone
(818) 841-1313

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 DC12296 CA Primary

Addresses

Primary practice location

1612 W Burbank Blvd
Burbank, CA 91506-1311

Mailing address

1612 W Burbank Blvd
Burbank, CA 91506-1311
Phone (818) 841-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327000625 CA Part B Supplier - Clinic/Group Practice 1850676297 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

1612 W Burbank Blvd
Burbank, CA 91506
Phone (818) 841-1313

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": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1346796729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061311",
            "telephone_number": "818-841-1313",
            "fax_number": "818-841-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061311",
            "telephone_number": "818-841-1313",
            "fax_number": "818-841-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORBURN CHIROPRACTIC & WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "THORBURN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "BEDDARD",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "818-841-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., R.N."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC12296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.