Individual provider Active NPI

David W Burroughs, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1104909852
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7226 Issued in TX
Practice address
28120 US Highway 281 N
Suite 104
San Antonio, TX 78260-1708
Phone
(830) 980-7520
Fax
(830) 438-7739
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7226 TX Primary

Addresses

Primary practice location

28120 US Highway 281 N
Suite 104
San Antonio, TX 78260-1708

Mailing address

28120 US Highway 281 N
Suite 104
San Antonio, TX 78260-1708
Phone (830) 980-7520

Other identifiers 1

IdentifierTypeStateIssuer
TXB115086OtherTXINDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000385 TX Practitioner - Chiropractic 1951590058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7226TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
David Burroughs PC Chiropractor CurrentSince Jan 4, 2011 Accepting new patients

Locations

28120 US Highway 281 N
Ste 145
San Antonio, TX 78260
Phone (830) 980-7520

28120 US Highway 281 N
Ste 104
San Antonio, TX 78260
Phone (830) 980-7520

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1104909852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28120 US HIGHWAY 281 N",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601708",
            "telephone_number": "830-980-7520",
            "fax_number": "830-438-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28120 US HIGHWAY 281 N",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601708",
            "telephone_number": "830-980-7520",
            "fax_number": "830-438-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "TXB115086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.