Active NPI
Richard Ward Burg, D.C.
- Nutrition Chiropractor
- Oakland, CA
National Provider Identifier
1528229218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC-30950
- Practice address
- 6330 Telegraph Ave
Oakland, CA 94609-1329 - Phone
- (510) 601-6330
- Fax
- (510) 601-6331
- NPI assigned
- Jun 24, 2008
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC-30950 | CA | Primary |
Addresses
Primary practice location
6330 Telegraph Ave
Oakland, CA 94609-1329
Mailing address
6330 Telegraph Ave
Oakland, CA 94609-1329
Phone (510) 601-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090122000546 | CA | Practitioner - Chiropractic | 3476617283 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6330 Telegraph Ave
Oakland, CA 94609-1329
Phone (510) 601-6330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1528229218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091329",
"telephone_number": "510-601-6330",
"fax_number": "510-601-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091329",
"telephone_number": "510-601-6330",
"fax_number": "510-601-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURG",
"first_name": "RICHARD",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC-30950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.