Active NPI
Douglas S Burson, DC
- Chiropractor
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0006980
- Practice address
- 520 Zang St Ste 250
Broomfield, CO 80021-8347 - Phone
- (303) 214-7907
- Fax
- (720) 925-5897
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 3617012 | WI | |
| Chiropractor | 111N00000X | CHR.0006980 | CO | Primary |
Addresses
Primary practice location
520 Zang St Ste 250
Broomfield, CO 80021-8347
Mailing address
5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599
Other practice location 1
11649 N Port Washington Rd
Suite 100
Mequon, WI 53092-3460
Phone (262) 240-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38933100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Zang St
Suite 250
Broomfield, CO 80021-8347
Phone (303) 214-7907
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3617012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pain Center | Chiropractor | Current | Accepting new patients |
| Allied Health of Wisconsin, SC | Chiropractor | Past | Accepting new patients |
| Lickteig Chiropractic Clinic,S.C. | Chiropractor | Past | Accepting new patients |
Locations
520 Zang St
Ste 250
Broomfield, CO 80021
Phone (303) 214-7907
63 N Quebec St
Ste 300
Denver, CO 80230
Phone (720) 798-2811
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
300 Exempla Cir
Ste 130
Lafayette, CO 80026
Phone (303) 539-2533
5920 S Estes St
Ste 220
Littleton, CO 80123
Phone (303) 221-1569
Organizations & group practices 3
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
- Aurora, CO
- NPI 1215179304
-
- Chiropractor
- Wausau, WI
- NPI 1487605051
-
- Chiropractor
- Mequon, WI
- NPI 1336269661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1215922141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 DTC PKWY STE 1130",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113038",
"telephone_number": "720-749-5599",
"fax_number": "720-925-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 ZANG ST STE 250",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218347",
"telephone_number": "303-214-7907",
"fax_number": "720-925-5897"
}
],
"practiceLocations": [
{
"address_1": "11649 N Port Washington Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530923460",
"country_code": "US",
"telephone_number": "262-240-2273",
"fax_number": "262-240-2260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURSON",
"first_name": "DOUGLAS",
"middle_name": "S",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3617012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0006980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38933100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.