Burdette Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33849 Issued in CA

Legal business name

BURDETTE CHIROPRACTIC, INC

Doing business as

Community Chiropractic Center

Practice address

13029 Pomerado Rd Ste a
Poway, CA 92064-4246

Phone

(858) 486-1222

Fax

(858) 513-2088

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mark Weaver Burdette, D.C.

Title

Owner

Phone

(858) 486-1222

Specialties & licenses 1

Addresses

Other names 1

• Community Chiropractic Center Doing business as

Tax ID family

Burdette Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Burdette Chiropractic, Incorporated

  • Chiropractor
  • Poway, CA
  • NPI 1760678262
  NPD tax ID

Locations

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1639603152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029 POMERADO RD STE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644246",
            "telephone_number": "858-486-1222",
            "fax_number": "858-513-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13029 POMERADO RD STE A",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644246",
            "telephone_number": "858-486-1222",
            "fax_number": "858-513-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDETTE CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WEAVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-486-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Hunter Brueland
• Elizabeth A Bryant, PHD
• Alyssa Bucio
• Angela Jean Buffington, PHD
• Kenneth S. Buhr, PH.D.
• Burdette Chiropractic, Incorporated
• Mark W. Burdette, D.C.
• Kaitlyn Burg
• Brooklyn Burgon
• Chessa Burke

• Chiropractor in Poway, CA
• Providers in Poway, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.