Burkenbine Family Chiropractic, PLLC
Organization Active NPI Chiropractor · Perry, IA
NPI 1801255708 · NPPES record last updated Feb 19, 2016
Key facts
- NPI
- 1801255708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 081221 (IA)
- Legal business name
- BURKENBINE FAMILY CHIROPRACTIC, PLLC
- Practice address
- 437 290TH St
Perry, IA 50220-7508 - Phone
- (319) 530-6447
- NPI assigned
- Feb 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Nikki Burkenbine, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (219) 530-6447
Practitioners 1
-
Nikki Burkenbine, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160601001065 | IA | Part B Supplier - Clinic/Group Practice | 7012207277 |
Receives reassigned benefits from 1 practitioner Practice locations: Urbandale, IA |
National Provider Directory
Locations
11115 Plum Dr
Urbandale, IA 50322
Phone (319) 530-6447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 081221 | IA | Yes |
Addresses
Primary practice location
437 290TH St
Perry, IA 50220-7508
Mailing address
437 290TH St
Perry, IA 50220-7508
Phone (319) 530-6447
Other providers in Perry, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.