Organization Active NPI

Burdock Family Chiropratic PC

  • Chiropractor
  • Washington, IA
National Provider Identifier
1497986186
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06120 Issued in IA
Legal business name
BURDOCK FAMILY CHIROPRATIC PC
Practice address
208 S Marion Ave
Washington, IA 52353-1744
Phone
(319) 653-3573
Fax
(319) 653-3573
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Dr. Edward M Burdock, DCNPI 1417086760
Title
President
Phone
(319) 653-3573

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 A06120 IA Primary

Addresses

Primary practice location

208 S Marion Ave
Washington, IA 52353-1744

Mailing address

208 S Marion Ave
Washington, IA 52353-1744
Phone (319) 653-3573

National Provider Directory

National Provider Directory

Locations

208 S Marion Ave
Washington, IA 52353
Phone (319) 653-3573

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": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1497986186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S MARION AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531744",
            "telephone_number": "319-653-3573",
            "fax_number": "319-653-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S MARION AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531744",
            "telephone_number": "319-653-3573",
            "fax_number": "319-653-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDOCK FAMILY CHIROPRATIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "BURDOCK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-653-3573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.