Individual provider Active NPI

Kevin M Burkhart, D.C.

  • Chiropractor
  • Rockford, MI
National Provider Identifier
1992790943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008541 Issued in MI
Practice address
515 E Division St Ste 125
Rockford, MI 49341-1378
Phone
(616) 863-1020
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008541MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes Chiropractic Clinic PC Chiropractor PastSince Jun 9, 2008 Accepting new patients
Dekraker Cushman PC Chiropractor Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008541 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

515 E Division St Ste 125
Rockford, MI 49341-1378

Mailing address

515 E Division St Ste 125
Rockford, MI 49341-1378
Phone (616) 863-1020

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4410455MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992790943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST STE 125",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411378",
            "telephone_number": "616-863-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E DIVISION ST STE 125",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411378",
            "telephone_number": "616-863-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4410455",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.