Individual provider Active NPI

Robert Burger, DACM LAC

  • Acupuncturist
  • Tigard, OR
National Provider Identifier
1124612809
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC191495 Issued in OR
Practice address
15975 SW 72ND Ave
Tigard, OR 97224-7960
Phone
(303) 520-1900
Fax
(503) 747-3365
NPI assigned
Feb 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC191495 OR Primary

Addresses

Primary practice location

15975 SW 72ND Ave
Tigard, OR 97224-7960

Mailing address

4063 NE 7TH Ave
Portland, OR 97212-1136
Phone (303) 520-1900

Other practice location 1

4475 SW Scholls Ferry Rd Ste 210
Portland, OR 97225-1978
Phone (503) 292-0781

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC191495ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Care Massage & Spa Acupuncturist CurrentSince Jun 2, 2024 Accepting new patients
Chiropractic Center of Raleigh Hills PC CurrentSince May 1, 2022 Accepting new patients

Locations

4475 SW Scholls Ferry Rd
Ste 210
Portland, OR 97225
Phone (503) 245-2272

15975 SW 72nd Ave
Tigard, OR 97224
Phone (303) 520-1900

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1124612809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4063 NE 7TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121136",
            "telephone_number": "303-520-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15975 SW 72ND AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247960",
            "telephone_number": "303-520-1900",
            "fax_number": "503-747-3365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 SW Scholls Ferry Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972251978",
            "country_code": "US",
            "telephone_number": "503-292-0781",
            "fax_number": "503-292-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DACM LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC191495",
            "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 May 28, 2024; 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.