Nathan Burdash, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4162 Issued in MN

Practice address

101 5TH St E
Suite 227
Saint Paul, MN 55101-1898

Phone

(651) 778-0080

NPI assigned

Dec 13, 2006

Last updated

Sep 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Proactive Healthcare

  • General Practice Physician
  • Saint Paul, MN
  • NPI 1891058384
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1861553588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST E",
            "address_2": "SUITE 227",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011898",
            "telephone_number": "651-778-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST E",
            "address_2": "SUITE 227",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011898",
            "telephone_number": "651-778-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDASH",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Bulock
• Monica Bultena, CRNA
• Dixie Kaye Bunnell, RN
• William Bunzli, PHARMD
• Burdash Family Chiropractic, Corp (proactive chiropractic)
• Bonnie K Burg, LICSW, BCD
• Jennifer Lynn Wolf Burg, RD
• Stephan G Burgeson, MD
• Bobbi Allison Burgess
• John Charles Burggraff, LGSW

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.