Burnett Chiropractic and Massage, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BURNETT CHIROPRACTIC AND MASSAGE, INC

Practice address

12725 SW 66TH Ave Ste 205
Tigard, OR 97223-2548

Phone

(503) 360-3050

Fax

(971) 371-1129

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Daniel K Burnett, DCNPI 1225363419

Title

Owner/Ceo

Phone

(971) 245-5699

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Burnett, D.C.

  • Chiropractor
  • Tigard, OR
  • NPI 1225363419
  Medicare reassignment NPD Authorized official
• Kelly Alysa Bennett, LMT, BCTMB

  • Massage Therapist
  • Tigard, OR
  • NPI 1437854213
  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1629633045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW 66TH AVE STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232548",
            "fax_number": "971-371-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW 66TH AVE STE 205",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972232548",
            "telephone_number": "503-360-3050",
            "fax_number": "971-371-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNETT CHIROPRACTIC AND MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "971-245-5699",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225363419",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Buoscio, MSW
• Rachael McKayla Burda
• Robert Burger, DACM LAC
• Brian Patrick Burke, MD
• Sarita Burks
• Daniel Burnett, D.C.
• Lacey C Burnett
• Jeffrey M Burnham
• Grace Elaine Burns
• Terry Eugene Burris, M.D.

• Chiropractor in Tigard, OR
• Providers in Tigard, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.