Kevin Burroughs, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04788 Issued in OH

Practice address

15713 Detroit Ave
Lakewood, OH 44107-3709

Phone

(330) 554-4232

NPI assigned

Jan 3, 2018

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cleveland Performance Chiropractic, LLC

  • Clinic/Center
  • Lakewood, OH
  • NPI 1568002137
  Authorized official Same address or phone
• Infupoint Care Consultants, LLC

  dba Vital Care of Northfield

  • Home Infusion Therapy Pharmacy
  • Northfield, OH
  • NPI 1609640200
  NPD (past)
• Ohio Sports Chiropractic

  • Chiropractor
  • Northfield, OH
  • NPI 1295095651
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1578070280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 MADISON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024356",
            "telephone_number": "330-554-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15713 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073709",
            "telephone_number": "330-554-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Budny, D.C.
• Janice Buildt
• Emily Bunch
• Elizabeth Burens
• Robert Alan Burke
• Donna Burton, L.P.N.
• Mary Beth Byrne
• Paul T Cachat, DPM
• Erika Nicole Caine, CNP
• Cambios Counseling & Consulting LLC

• Chiropractor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.