Burdette Family Chiropractic and Wellness Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

800 Issued in WV

Legal business name

BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER, INC.

Practice address

307 Cleveland Ave.
Fairmont, WV 26554

Phone

(304) 363-4006

Fax

(304) 363-4008

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Wilson Burdette III, D.C.NPI 1811047814

Title

President

Phone

(304) 363-4006

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Wilson Burdette III, D.C.

  • Chiropractor
  • Fairmont, WV
  • NPI 1811047814
  NPD Authorized official
• Laurence S Burdett, MD, PC

  • Specialist
  • Ogden, UT
  • NPI 1467454918
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780734434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CLEVELAND AVE.",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-363-4006",
            "fax_number": "304-363-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CLEVELAND AVE.",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-363-4006",
            "fax_number": "304-363-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDETTE FAMILY CHIROPRACTIC AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-363-4006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7028671",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38100001785",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Buckhannon
• John Bucsko
• Tonya Allise Buggs
• Debra Bunch
• Shelley Burchard
• Amy Burdette, M.A., LPC
• Lawrence Wilson Burdette III, D.C.
• Ada Kathleen Burgoyne, HIS
• Ramona Lue Burnett, PT
• Jane Burns

• Chiropractor in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.