Active NPI
Burke Mill Chiropractic PLLC
- Chiropractor
- Winston Salem, NC
National Provider Identifier
1508451279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BURKE MILL CHIROPRACTIC PLLC
- Practice address
- 3497 Burke Mill Rd
Winston Salem, NC 27103-5501 - Phone
- (336) 968-1174
- NPI assigned
- Mar 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Sharp, DC
- Title
- President
- Phone
- (336) 768-7227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3497 Burke Mill Rd
Winston Salem, NC 27103-5501
Mailing address
4622 Country Club Rd Ste 140
Winston Salem, NC 27104-3770
Phone (336) 768-7227
Other names 1
- Burke Mill Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1508451279",
"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": "271043770",
"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": "3497 BURKE MILL RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035501",
"telephone_number": "336-968-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKE MILL CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "SHARP",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-768-7227",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Burke Mill Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.