Andrea Marie Burckhard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1003 Issued in ND

Practice address

700 Western Ave
Suite 200
Minot, ND 58701-3760

Phone

(701) 838-2121

NPI assigned

Apr 21, 2010

Last updated

Jun 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Marie Albertson Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine and Sport Chiropractic PLLC

  dba Spine and Sport Chiropractic

  • Clinic/Center
  • Minot, ND
  • NPI 1154709111
  Medicare reassignment NPD Authorized official
• Andrea Burckhard DC PA

  • Chiropractor
  • Edina, MN
  • NPI 1770878761
  NPD (past) Authorized official
• Clinic FHSC PC

  • Clinic/Center
  • West Fargo, ND
  • NPI 1023286614
  NPD (past)
• Dr. J Gregory Dye, P.C.

  dba Family Vision

  • Optometrist
  • West Fargo, ND
  • NPI 1720140577
  NPD (past)
• Eden Chriopractic and Rehabilitation, LLC

  • Rehabilitation Chiropractor
  • Edina, MN
  • NPI 1922248087
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1538486154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WESTERN AVE",
            "address_2": "SUITE 200",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013760",
            "telephone_number": "701-838-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WESTERN AVE",
            "address_2": "SUITE 200",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013760",
            "telephone_number": "701-838-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCKHARD",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5508",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ALBERTSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Ann Burcham
• Kristy Burchell
• Burckhard Clinic, P. C.
• Burckhard Orthodontics, PLLC (Burckhard Orthodontics)
• Tifany A Burckhard-Teets, DC
• Jason Burckhard, DDS
• Kathryn Marie Burckhard
• Mike Vincent Burckhard, LICSW
• Natalie Burckhard
• Katharyn A Burgardt, FNP-C

• Chiropractor in Minot, ND
• Providers in Minot, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.