Organization Active NPI

Laurie C. Burke, Doctor of Chiropractic P.C.

  • Chiropractor
  • Ellisville, MO
National Provider Identifier
1710091939
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004760 Issued in MO
Legal business name
LAURIE C. BURKE, DOCTOR OF CHIROPRACTIC P.C.
Practice address
242 Clarkson Rd
Ellisville, MO 63011-2245
Phone
(636) 227-8191
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Laurie Burke, D.C.NPI 1477667780
Title
Owner
Phone
(636) 227-8191

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 004760 MO Primary

Addresses

Primary practice location

242 Clarkson Rd
Ellisville, MO 63011-2245

Mailing address

242 Clarkson Rd
Ellisville, MO 63011-2245
Phone (636) 227-8191

Other names 1

  • Clarkson Chiropractic Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070313000130 MO Part B Supplier - Clinic/Group Practice 5991808040 Receives reassigned benefits from 1 practitioner
Practice locations: Ellisville, MO

National Provider Directory

National Provider Directory

Locations

242 Clarkson Rd
Ellisville, MO 63011
Phone (636) 227-8191

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1710091939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112245",
            "telephone_number": "636-227-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112245",
            "telephone_number": "636-227-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE C. BURKE, DOCTOR OF CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-227-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Chiropractic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.