NPIMap

Organization Active NPI

Burdette Chiropractic, Incorporated

  • Chiropractor
  • Poway, CA
National Provider Identifier
1760678262
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27393 Issued in CA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Burdette Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.