Individual provider Active NPI

Daniel Burnett, D.C.

  • Chiropractor
  • Tigard, OR
National Provider Identifier
1225363419
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3965 Issued in OR
Practice address
12725 SW 66TH Ave Ste 205
Tigard, OR 97223-2548
Phone
(971) 245-5699
Fax
(971) 371-1129
NPI assigned
Oct 6, 2009
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3965 OR Primary

Addresses

Primary practice location

12725 SW 66TH Ave Ste 205
Tigard, OR 97223-2548

Mailing address

12725 SW 66TH Ave Ste 205
Tigard, OR 97223-2548
Phone (971) 245-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000057 OR Practitioner - Chiropractic 0042468944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7000 SW Hampton St
Suite 128
Tigard, OR 97223-8361
Phone (971) 245-5699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burnett Chiropractic and Massage, Inc Chiropractor CurrentSince Jul 1, 2019 Accepting new patients

Locations

12725 SW 66th Ave
Ste 205
Tigard, OR 97223
Phone (503) 360-3050

7000 SW Hampton St
Ste 128
Tigard, OR 97223
Phone (971) 245-5699

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1225363419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW 66TH AVE STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232548",
            "telephone_number": "971-245-5699",
            "fax_number": "971-371-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW 66TH AVE STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232548",
            "telephone_number": "971-245-5699",
            "fax_number": "971-371-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3965",
            "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 Nov 5, 2020; 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.

Verify at the official NPI Registry.