Active NPI
Allen Douglas Burt, C.R.
- Reflexologist
- Crete, IL
National Provider Identifier
1316219223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- Practice address
- 1397 Main St
Suite B
Crete, IL 60417-2951 - Phone
- (708) 672-4773
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | NU | ||
| Reflexologist | 173C00000X | NU | Primary |
Addresses
Primary practice location
1397 Main St
Suite B
Crete, IL 60417-2951
Mailing address
1397 Main St
Suite B
Crete, IL 60417-2951
Phone (708) 672-4773
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1316219223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 MAIN ST",
"address_2": "SUITE B",
"city": "CRETE",
"state": "IL",
"postal_code": "604172951",
"telephone_number": "708-672-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 MAIN ST",
"address_2": "SUITE B",
"city": "CRETE",
"state": "IL",
"postal_code": "604172951",
"telephone_number": "708-672-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "ALLEN",
"middle_name": "DOUGLAS",
"credential": "C.R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crete, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.