Organization Active NPI

Island Spine Center Inc.

Doing business as Kimberly Burke

  • Independent Medical Examiner Chiropractor
  • Oak Bluffs, MA
National Provider Identifier
1558035436
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
ISLAND SPINE CENTER INC.
Doing business as
Kimberly Burke
Practice address
5 Upper Douglas Rd.
Oak Bluffs, MA 02557-1666
Phone
(508) 687-9320
Fax
(508) 955-5070
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dr. Kimberly Burke, DCNPI 1003188954
Title
Doctor
Phone
(508) 687-9320

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
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

5 Upper Douglas Rd.
Oak Bluffs, MA 02557-1666

Mailing address

PO Box 1666
Oak Bluffs, MA 02557-1666
Phone (508) 687-9320

Other identifiers 1

IdentifierTypeStateIssuer
110105860AMedicaidMA

Other names 1

  • Kimberly Burke Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1558035436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1666",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571666",
            "telephone_number": "508-687-9320",
            "fax_number": "508-955-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 UPPER DOUGLAS RD.",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571666",
            "telephone_number": "508-687-9320",
            "fax_number": "508-955-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SPINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "508-687-9320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110105860A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Burke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Bluffs, MA

Sources for this page

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

Verify at the official NPI Registry.