Burgess Chiropractic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9347 Issued in TX

Legal business name

BURGESS CHIROPRACTIC PA

Practice address

1100 Dallas Dr Ste 112
Denton, TX 76205-5121

Phone

(940) 243-0108

Fax

(940) 387-3446

NPI assigned

Aug 25, 2009

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte Denise Burgess, D. C.NPI 1891816716

Title

Owner/President

Phone

(940) 243-0108

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Denise Burgess, D.C.

  • Chiropractor
  • Denton, TX
  • NPI 1891816716
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1518190545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 DALLAS DR STE 112",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762055121",
            "telephone_number": "940-243-0108",
            "fax_number": "940-387-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DALLAS DR STE 112",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762055121",
            "telephone_number": "940-243-0108",
            "fax_number": "940-387-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "940-243-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "9347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTEGRATED HEALTH PLAN, INC.",
            "identifier": "1891816716",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8H9157",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1891816716",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1549388-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "11195715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "1891816716",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH (COVENTRY)",
            "identifier": "1891816716",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1891816716",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Nicole Bullock
• Bunch Bikes Inc.
• William Bunnett, LPC-A
• Clinton Buol
• Isabella Burba
• Charlotte Denise Burgess, D.C.
• Holland Burkett
• David Ralph Burkhardt, DDS
• Brandi Burnett
• Deaija Burnett

• Clinic/Center in Denton, TX
• Providers in Denton, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.