Active NPI
Virginijus Burneikis, M.D., SA-C
- Surgical Assistant
- Boulder, CO
National Provider Identifier
1306028352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 00130
- Practice address
- 90 Granite Dr
Boulder, CO 80302-9784 - Phone
- (303) 932-0505
- Fax
- (303) 932-0505
- NPI assigned
- Dec 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 00130 | CO | Primary |
Addresses
Primary practice location
90 Granite Dr
Boulder, CO 80302-9784
Mailing address
PO Box 7122
Boulder, CO 80306-7122
Phone (303) 932-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00130 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283040000000",
"number": "1306028352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7122",
"city": "BOULDER",
"state": "CO",
"postal_code": "803067122",
"telephone_number": "303-932-0505",
"fax_number": "303-932-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 GRANITE DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029784",
"telephone_number": "303-932-0505",
"fax_number": "303-932-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNEIKIS",
"first_name": "VIRGINIJUS",
"name_prefix": "Dr.",
"credential": "M.D., SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-02",
"last_updated": "2010-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "00130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.