Individual provider Active NPI

Burl Lyn Buchkowski, D.C.

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1821347980
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007493 Issued in GA
Practice address
5425 E Bell Rd Ste 150
Scottsdale, AZ 85254-6010
Phone
(602) 493-9800
NPI assigned
Sep 5, 2012
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007493 GA Primary

Addresses

Primary practice location

5425 E Bell Rd Ste 150
Scottsdale, AZ 85254-6010

Mailing address

5425 E Bell Rd Ste 150
Scottsdale, AZ 85254-6010
Phone (602) 493-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129001393 AZ Practitioner - Chiropractic 4880974302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR007493GAMDChiropractor
8548AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffer Chiropractic P.C. Chiropractor CurrentSince Oct 15, 2016 Accepting new patients

Locations

5425 E Bell Rd
Ste 150
Scottsdale, AZ 85254
Phone (602) 493-9800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1821347980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546010",
            "telephone_number": "602-493-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546010",
            "telephone_number": "602-493-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHKOWSKI",
        "first_name": "BURL",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.