Active NPI
Corey Daniel Burt, DC
- Chiropractor
- Tigard, OR
National Provider Identifier
1033755202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6029
- Practice address
- 7180 SW Fir Loop Ste 250
Tigard, OR 97223-8077 - Phone
- (503) 597-8098
- NPI assigned
- Nov 22, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 6029 | OR | Primary |
Addresses
Primary practice location
7180 SW Fir Loop Ste 250
Tigard, OR 97223-8077
Mailing address
40175 SW Laurelwood Rd
Gaston, OR 97119-8532
Phone (503) 473-2619
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1033755202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40175 SW LAURELWOOD RD",
"city": "GASTON",
"state": "OR",
"postal_code": "971198532",
"telephone_number": "503-473-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 SW FIR LOOP STE 250",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238077",
"telephone_number": "503-597-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "COREY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-22",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.