Active NPI
John R Burris, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Vail, CO
National Provider Identifier
1497965743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 35085
- Practice address
- 181 W Meadow Dr
Occupational Health
Vail, CO 81657-5242 - Phone
- (970) 479-5085
- Fax
- (970) 479-5088
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 35085 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Occupational Health
Vail, CO 81657-5242
Mailing address
181 W Meadow Dr
Occupational Health
Vail, CO 81657-5242
Phone (970) 479-5085
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35085 | CO | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Clinic, Inc. | Past | Accepting new patients | |
| VVMC Diversified Services | Past | Accepting new patients |
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": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497965743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "OCCUPATIONAL HEALTH",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-479-5085",
"fax_number": "970-479-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "OCCUPATIONAL HEALTH",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-479-5085",
"fax_number": "970-479-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "JOHN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CO",
"license": "35085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.