Individual provider Active NPI

Michael Maurice Burak, D.C.

  • Chiropractor
  • Huntingdon Valley, PA
National Provider Identifier
1801973144
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-006453-L Issued in PA
Practice address
2579 Huntingdon Pike
Huntingdon Valley, PA 19006-6113
Phone
(215) 938-6040
Fax
(215) 938-6042
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-006453-L PA Primary

Addresses

Primary practice location

2579 Huntingdon Pike
Huntingdon Valley, PA 19006-6113

Mailing address

2579 Huntingdon Pike
Huntingdon Valley, PA 19006-6113
Phone (215) 938-6040

Other identifiers 1

IdentifierTypeStateIssuer
0877364000OtherPABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000052 PA Practitioner - Chiropractic 8426221177 Practice locations: Huntingdon Valley, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2579 Huntingdon Pike
Huntingdon Valley, PA 19006-6113
Phone (215) 938-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-006453-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Huntingdon Valley Family Chiropractic Centre Chiropractor PastSince Feb 22, 1996 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801973144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066113",
            "telephone_number": "215-938-6040",
            "fax_number": "215-938-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066113",
            "telephone_number": "215-938-6040",
            "fax_number": "215-938-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAK",
        "first_name": "MICHAEL",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006453-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0877364000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.