Organization Active NPI

Burt Chiropractic Professional Corporation

  • Chiropractor
  • San Leandro, CA
National Provider Identifier
1225166036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-28211 Issued in CA
Legal business name
BURT CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
15200 Hesperian Blvd Ste 104
San Leandro, CA 94578-3955
Phone
(510) 481-2225
Fax
(866) 501-8083
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eduard Burt, D.C.NPI 1235267295
Title
Chiropractor
Phone
(510) 481-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-28211 CA Primary

Addresses

Primary practice location

15200 Hesperian Blvd Ste 104
San Leandro, CA 94578-3955

Mailing address

15200 Hesperian Blvd Ste 104
San Leandro, CA 94578-3955
Phone (510) 481-2225

National Provider Directory

National Provider Directory

Locations

15200 Hesperian Blvd
Ste 104
San Leandro, CA 94578
Phone (510) 481-2225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225166036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 HESPERIAN BLVD STE 104",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783955",
            "telephone_number": "510-481-2225",
            "fax_number": "866-501-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 HESPERIAN BLVD STE 104",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783955",
            "telephone_number": "510-481-2225",
            "fax_number": "866-501-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURT CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "510-481-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.