Organization Active NPI

Ray L Burris DC PA

  • Chiropractor
  • Lincolnton, NC
National Provider Identifier
1366423758
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
718 Issued in NC
Legal business name
RAY L BURRIS DC PA
Practice address
108 S Poplar St
Lincolnton, NC 28092-3320
Phone
(704) 735-7272
Fax
(704) 735-9598
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Ray L Burris, DC
Title
Chiropractor
Phone
(704) 735-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 718 NC Primary

Addresses

Primary practice location

108 S Poplar St
Lincolnton, NC 28092-3320

Mailing address

108 S Poplar St
Lincolnton, NC 28092-3320
Phone (704) 735-7272

Other identifiers 2

IdentifierTypeStateIssuer
0828AOtherNCBCBS NC
890828AMedicaidNC

Other names 1

  • Burris Chiropractic Clinic Other name

National Provider Directory

National Provider Directory

Locations

108 S Poplar St
Lincolnton, NC 28092
Phone (704) 735-7272

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1366423758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S POPLAR ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923320",
            "telephone_number": "704-735-7272",
            "fax_number": "704-735-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S POPLAR ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923320",
            "telephone_number": "704-735-7272",
            "fax_number": "704-735-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY L BURRIS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "704-735-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0828A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890828A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burris Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.