Active NPI
Burdette Chiropractic, Incorporated
- Chiropractor
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27393
- Legal business name
- BURDETTE CHIROPRACTIC, INCORPORATED
- Practice address
- 13029 Pomerado Rd
Suite a
Poway, CA 92064-4246 - Phone
- (858) 486-1222
- NPI assigned
- Sep 18, 2007
- Last updated
- Jul 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Weaver Burdette, D.C.
- Title
- Owner
- Phone
- (858) 486-1222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27393 | CA | Primary |
Addresses
Primary practice location
13029 Pomerado Rd
Suite a
Poway, CA 92064-4246
Mailing address
PO Box 807
Poway, CA 92074-0807
Phone (858) 486-1222
Other names 1
- Community Chiropractic Center
National Provider Directory
National Provider Directory- Tax ID family
- Burdette Chiropractic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
13029 Pomerado Rd
Ste A
Poway, CA 92064
Phone (858) 486-1222
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.
-
- Chiropractor
- Poway, CA
- NPI 1386717981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1760678262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 807",
"city": "POWAY",
"state": "CA",
"postal_code": "920740807",
"telephone_number": "858-486-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13029 POMERADO RD",
"address_2": "SUITE A",
"city": "POWAY",
"state": "CA",
"postal_code": "920644246",
"telephone_number": "858-486-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURDETTE CHIROPRACTIC, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "BURDETTE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "WEAVER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-486-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Chiropractic Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.