Active NPI
David Marshall Burgdorf, D.C.
- Chiropractor
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1612
- Practice address
- 317 Libbey Industrial Pkwy
Suite B-600
Weymouth, MA 02189-3113 - Phone
- (781) 337-4400
- Fax
- (781) 337-4480
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1612 | MA | Primary |
Addresses
Primary practice location
317 Libbey Industrial Pkwy
Suite B-600
Weymouth, MA 02189-3113
Mailing address
317 Libbey Industrial Pkwy
Suite B-600
Weymouth, MA 02189-3113
Phone (781) 337-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 Libbey Pkwy
Suite B600
Weymouth, MA 02189-3113
Phone (781) 337-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1612 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. David M. Burgdorf, D.C, | Chiropractor | Current | Accepting new patients |
Locations
293 Libbey Park
Ste A-100
Weymouth, MA 02189
Phone (339) 499-9237
317 Libbey Park
Ste B600
Weymouth, MA 02189
Phone (781) 337-4400
317 Libbey Park
Ste 600
Weymouth, MA 02189
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.
-
- Chiropractor
- Weymouth, MA
- NPI 1184818395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1952492142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 LIBBEY INDUSTRIAL PKWY",
"address_2": "SUITE B-600",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893113",
"telephone_number": "781-337-4400",
"fax_number": "781-337-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 LIBBEY INDUSTRIAL PKWY",
"address_2": "SUITE B-600",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893113",
"telephone_number": "781-337-4400",
"fax_number": "781-337-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGDORF",
"first_name": "DAVID",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.