Champion Chiropractic Clinic, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHAMPION CHIROPRACTIC CLINIC, PLC

Practice address

515 E Division St
Suite 125
Rockford, MI 49341-1377

Phone

(616) 863-1020

NPI assigned

Jan 29, 2008

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Michael Burkhart, DCNPI 1992790943

Title

Member

Phone

(616) 863-1020

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kevin M Burkhart, D.C.

  • Chiropractor
  • Rockford, MI
  • NPI 1992790943
  Authorized official Same address or phone

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1730366907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST",
            "address_2": "SUITE 125",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411377",
            "telephone_number": "616-863-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST",
            "address_2": "SUITE 125",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411377",
            "telephone_number": "616-863-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-863-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Carr, M.D.
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• Amy Casady
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• Chad J. Jackson, OD, PLLC
• Dereck Fitzgerald Chavis
• Child and Family Wellness Consultants LLC
• Rebekah M Chino, LLMSW
• Chiropractic Health Center of Rockford (ChiroHealthRockford)
• Madison G Christensen

• Chiropractor in Rockford, MI
• Providers in Rockford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.