Organization Active NPI

Burle Chiropractic Inc.

Doing business as Burle Chiropractic

  • Chiropractor
  • Mexico, MO
National Provider Identifier
1669660247
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007021191 Issued in MO
Legal business name
BURLE CHIROPRACTIC INC.
Doing business as
Burle Chiropractic
Practice address
422 W Love St
Mexico, MO 65265-2704
Phone
(573) 581-0381
Fax
(573) 581-0381
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Kenneth Gerard Burle Jr., D.C.NPI 1174692982
Title
Oener
Phone
(573) 581-0381

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 2007021191 MO Primary

Addresses

Primary practice location

422 W Love St
Mexico, MO 65265-2704

Mailing address

422 W Love St
Mexico, MO 65265-2704
Phone (573) 581-0381

Other names 1

  • Burle Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000119 MO Part B Supplier - Clinic/Group Practice 9133181746 Receives reassigned benefits from 1 practitioner
Practice locations: Mexico, MO

National Provider Directory

National Provider Directory
Tax ID family
Burle Chiropractic2 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.

Locations

2000 N Morton St
Franklin, IN 46131
Phone (317) 210-3737

Practitioners & affiliated clinicians

Practitioners 3

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1669660247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W LOVE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652704",
            "telephone_number": "573-581-0381",
            "fax_number": "573-581-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W LOVE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652704",
            "telephone_number": "573-581-0381",
            "fax_number": "573-581-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BURLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OENER",
        "authorized_official_telephone_number": "573-581-0381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007021191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.