Organization Active NPI

Chiropractic Xpress LLC

Doing business as Chiropractic Express

  • Chiropractor
  • Port Charlotte, FL
National Provider Identifier
1578265377
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC XPRESS LLC
Doing business as
Chiropractic Express
Practice address
2886 Tamiami TRL Ste 6
Port Charlotte, FL 33952-5162
Phone
(941) 249-9020
Fax
(941) 249-4738
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Dr. Craig James Burgardt, DCNPI 1851740955
Title
Owner
Phone
(941) 769-7726

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 Primary

Addresses

Primary practice location

2886 Tamiami TRL Ste 6
Port Charlotte, FL 33952-5162

Mailing address

2886 Tamiami TRL Ste 6
Port Charlotte, FL 33952-5162
Phone (941) 249-9020

Other names 1

  • Chiropractic Express Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323002650 FL Part B Supplier - Clinic/Group Practice 6103290689 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

2886 Tamiami Trl
Ste 6
Port Charlotte, FL 33952
Phone (941) 249-9020

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": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1578265377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 TAMIAMI TRL STE 6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525162",
            "telephone_number": "941-249-9020",
            "fax_number": "941-249-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 TAMIAMI TRL STE 6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525162",
            "telephone_number": "941-249-9020",
            "fax_number": "941-249-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC XPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "BURGARDT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-769-7726",
        "authorized_official_name_prefix": "Dr.",
        "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": "Chiropractic Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.