Active NPI
Landon Daniel Burris, DC
- Chiropractor
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010726
- Practice address
- 833 Kenmoor Ave SE
Grand Rapids, MI 49546-2390 - Phone
- (616) 333-2322
- Fax
- (616) 772-9258
- NPI assigned
- Feb 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3676 | TN | |
| Chiropractor | 111N00000X | 2301010726 | MI | Primary |
Addresses
Primary practice location
833 Kenmoor Ave SE
Grand Rapids, MI 49546-2390
Mailing address
833 Kenmoor Ave SE
Grand Rapids, MI 49546-2390
Phone (616) 333-2322
Other practice location 1
300 S State St Ste 4
Zeeland, MI 49464-1677
Phone (616) 772-9255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1787 Grand Ridge CT NE
Suite 103
Grand Rapids, MI 49525-7042
Phone (616) 333-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3676 | TN | MD | Professional Counselor |
| 2301010726 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Spine Specialists, PLLC | Chiropractor | Current | Accepting new patients |
| Balanced Health Chiropractic Center | Chiropractor | Current | Accepting new patients |
| Scheumann Chiropractic PLLC | Past | Accepting new patients | |
| A Sound Mind Behavioral Health | Past | Accepting new patients |
Locations
300 S State St
Ste 4
Zeeland, MI 49464
Phone (616) 748-9700
321 Billingsly Ct
Franklin, TN 37067
Phone (615) 445-7600
Organizations & group practices 4
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
- Zeeland, MI
- NPI 1942336987
-
- Chiropractor
- Franklin, TN
- NPI 1518299189
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1003492562
-
- Primary Care Clinic/Center
- Murfreesboro, TN
- NPI 1881214732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1043917008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 KENMOOR AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462390",
"telephone_number": "616-333-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 KENMOOR AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462390",
"telephone_number": "616-333-2322",
"fax_number": "616-772-9258"
}
],
"practiceLocations": [
{
"address_1": "300 S State St Ste 4",
"address_purpose": "LOCATION",
"city": "Zeeland",
"state": "MI",
"postal_code": "494641677",
"country_code": "US",
"telephone_number": "616-772-9255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURRIS",
"first_name": "LANDON",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "3676",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.