Organization Active NPI

Lucinda P Burke DC PC

  • Chiropractor
  • Oxford, MI
National Provider Identifier
1861797185
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004057 Issued in MI
Legal business name
LUCINDA P BURKE DC PC
Practice address
72 S Washington St Ste 202
Oxford, MI 48371-6424
Phone
(248) 628-2891
Fax
(248) 628-0226
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Lucinda BurkeNPI 1235202490
Title
Chiropractor
Phone
(248) 628-2891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004057 MI Primary

Addresses

Primary practice location

72 S Washington St Ste 202
Oxford, MI 48371-6424

Mailing address

72 S Washington St Ste 202
Oxford, MI 48371-6424
Phone (248) 628-2891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000433 MI Part B Supplier - Clinic/Group Practice 4183800691 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, MI

National Provider Directory

National Provider Directory

Locations

72 S Washington St
Ste 202
Oxford, MI 48371
Phone (248) 628-0220

142 S Washington St
Oxford, MI 48371
Phone (248) 628-2891

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1861797185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S WASHINGTON ST STE 202",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716424",
            "telephone_number": "248-628-2891",
            "fax_number": "248-628-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S WASHINGTON ST STE 202",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716424",
            "telephone_number": "248-628-2891",
            "fax_number": "248-628-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCINDA P BURKE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "248-628-2891"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.