S T Burns Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012525 Issued in NY

Legal business name

S T BURNS INC

Practice address

17 Leroy St
Potsdam, NY 13676-1737

Phone

(315) 261-4866

Fax

(315) 261-4867

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Thomas Burns, D.C.NPI 1568875441

Title

Chiropractor

Phone

(315) 261-4866

Specialties & licenses 1

Addresses

Other names 1

• Back In Motion Family and Sports Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn T Burns, D.C.

  • Chiropractor
  • Potsdam, NY
  • NPI 1568875441
  Medicare reassignment Authorized official
• Stephane Roy, D.C.

  • Chiropractor
  • Vernon, NJ
  • NPI 1508057969
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1205232105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761737",
            "telephone_number": "315-261-4866",
            "fax_number": "315-261-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761737",
            "telephone_number": "315-261-4866",
            "fax_number": "315-261-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S T BURNS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "315-261-4866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Motion Family and Sports Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber L Rusello, LPN
• Leslie N Russek, P.T.
• Nancy Rutledge, NP
• Sherry Ryan, LMHC
• S Chungfat MD PC
• Saint Lawrence Pathology PLLC
• Roshanak Salehi, MD
• Theresa Wiehagen Samways, LCSW
• Emily Sanchez, RN
• Sandstone Family Dentistry, P.C.

• Chiropractor in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.