Dr Mark B Burdorf PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4423 Issued in AZ

Legal business name

DR MARK B BURDORF PC

Practice address

8140 E Cactus Rd
Suite 730
Scottsdale, AZ 85260

Phone

(480) 951-5006

Fax

(480) 951-1588

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark B Burdorf, DC DACNBNPI 1073791885

Title

Doctor Owner

Phone

(480) 951-5006

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Mark B Burdorf, D.C.

  • Neurology Chiropractor
  • Scottsdale, AZ
  • NPI 1073791885
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1912072182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 E CACTUS RD",
            "address_2": "SUITE 730",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-951-5006",
            "fax_number": "480-951-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 E CACTUS RD",
            "address_2": "SUITE 730",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-951-5006",
            "fax_number": "480-951-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK B BURDORF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BURDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "480-951-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DACNB"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4423",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": "DIPLOMATE #328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "AW2655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0930740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.