Active NPI
Jordan Burk, L. AC.
- Acupuncturist
- Lexington, KY
National Provider Identifier
1710423454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- TAC102
- Practice address
- 1795 Alysheba Way
#1102
Lexington, KY 40509-2280 - Phone
- (502) 321-3881
- NPI assigned
- Jan 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | TAC102 | KY | Primary |
Addresses
Primary practice location
1795 Alysheba Way
#1102
Lexington, KY 40509-2280
Mailing address
264B Hawkeegan Dr
Frankfort, KY 40601-3913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAC102 | KY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sustaining Health Acupuncture | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Lexington, KY
- NPI 1154731370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1710423454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264B HAWKEEGAN DR",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY",
"address_2": "#1102",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092280",
"telephone_number": "502-321-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURK",
"first_name": "JORDAN",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "KY",
"license": "TAC102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.