Individual provider Active NPI

Alexis Marti Burkhardt, DC

  • Chiropractor
  • Norton Shores, MI
National Provider Identifier
1700345402
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
230101078 Issued in MI
Practice address
1125 E Sherman Blvd
Norton Shores, MI 49444-1809
Phone
(231) 830-1111
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 230101078 MI Primary

Addresses

Primary practice location

1125 E Sherman Blvd
Norton Shores, MI 49444-1809

Mailing address

1125 E Sherman Blvd
Norton Shores, MI 49444-1809
Phone (231) 830-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507002730 MI Practitioner - Chiropractic 9032451323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Chiropractic - Muskegon PCGroup PAC ID 6608121603, 2 clinicians

Practice addresses (Care Compare)

1125 E Sherman Blvd
Norton Shores, MI 49444-1809
Phone (231) 830-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230101078MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic - Muskegon, P.C. Chiropractor CurrentSince Aug 31, 2021 Accepting new patients
Ambrose Chiropractic Office PLC Chiropractor CurrentSince Aug 31, 2021 Accepting new patients

Locations

1125 E Sherman Blvd
Norton Shores, MI 49444
Phone (231) 830-1111

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1700345402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E SHERMAN BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494441809",
            "telephone_number": "231-830-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SHERMAN BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494441809",
            "telephone_number": "231-830-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "ALEXIS",
        "middle_name": "MARTI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "230101078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.