Organization Active NPI

Fast Brain

  • Neurology Chiropractor
  • Issaquah, WA
National Provider Identifier
1033482559
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH00003657 Issued in WA
Legal business name
FAST BRAIN
Practice address
5712 E Lake Sammamish Pkwy SE Ste 106
Issaquah, WA 98029-8943
Phone
(425) 518-9077
NPI assigned
Feb 14, 2012
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
IHCMEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. David William Burns, DC, NDNPI 1205905262
Title
Owner
Phone
(425) 518-9077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH00003657 WA Primary
Naturopath 175F00000X NT60096656 NU

Addresses

Primary practice location

5712 E Lake Sammamish Pkwy SE Ste 106
Issaquah, WA 98029-8943

Mailing address

1607 24TH Ave NE
Issaquah, WA 98029-7367
Phone (425) 518-9077

National Provider Directory

National Provider Directory
Part of
Fast Brain

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1033482559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 24TH AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297367",
            "telephone_number": "425-518-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 E LAKE SAMMAMISH PKWY SE STE 106",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298943",
            "telephone_number": "425-518-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST BRAIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IHCMEDICINE",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-518-9077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH00003657",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": "NT60096656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.