Cody A Burton, D.C.
Individual provider Active NPI Chiropractor · Columbus, TX
NPI 1215213665 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1215213665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11853 (TX)
- Practice address
- 2126 Highway 71 S Ste C
Columbus, TX 78934-3012 - Phone
- (979) 732-3900
- NPI assigned
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Burton Health and Wellness LLC
Practice addresses (Care Compare)
2126 Hwy 71 S
Suite C
Columbus, TX 78934-3012
Phone (979) 732-3900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120329000152 | TX | Practitioner - Chiropractic | 6002076007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11853 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Physical Therapy and Wellness LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11853 | TX | Yes |
Addresses
Primary practice location
2126 Highway 71 S Ste C
Columbus, TX 78934-3012
Mailing address
PO Box 373
La Grange, TX 78945-0373
Other providers in Columbus, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.