Organization Active NPI

Burleson Chiropractic Center Inc

  • Chiropractor
  • Burleson, TX
National Provider Identifier
1760501670
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4098 Issued in TX
Legal business name
BURLESON CHIROPRACTIC CENTER INC
Practice address
1161 SW Wilshire Blvd Ste 132
Burleson, TX 76028-5797
Phone
(817) 447-6400
Fax
(603) 658-2871
NPI assigned
Mar 29, 2007
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Karen Markum
Title
Office Manager
Phone
(817) 447-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC4098 TX Primary

Addresses

Primary practice location

1161 SW Wilshire Blvd Ste 132
Burleson, TX 76028-5797

Mailing address

1161 SW Wilshire Blvd Ste 132
Burleson, TX 76028-5797
Phone (817) 447-6400

Other identifiers 1

IdentifierTypeStateIssuer
0027JHOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110928000519 TX Part B Supplier - Clinic/Group Practice 3678744372 Receives reassigned benefits from 1 practitioner
Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

1161 SW Wilshire Blvd
Ste 132
Burleson, TX 76028
Phone (817) 447-6400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1760501670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD STE 132",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285797",
            "telephone_number": "817-447-6400",
            "fax_number": "603-658-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD STE 132",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285797",
            "telephone_number": "817-447-6400",
            "fax_number": "603-658-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "MARKUM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-447-6400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027JH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

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