Active NPI
Peter Burns
- Chiropractor
- San Antonio, TX
National Provider Identifier
1740827682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14166
- Practice address
- 7300 Blanco Rd
San Antonio, TX 78216-4936 - Phone
- (210) 977-0070
- NPI assigned
- Dec 10, 2019
- Reactivated
- Feb 4, 2020
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14166 | TX | Primary |
Addresses
Primary practice location
7300 Blanco Rd
San Antonio, TX 78216-4936
Mailing address
5307 Argyle Way
San Antonio, TX 78247-5812
Phone (463) 265-8591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407002920 | TX | Practitioner - Chiropractic | 4688003924 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7300 Blanco Rd
Suite 503
San Antonio, TX 78216-4941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14166 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1740827682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 ARGYLE WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475812",
"telephone_number": "463-265-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 BLANCO RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164936",
"telephone_number": "210-977-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-10",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"deactivation_date": "2019-12-17",
"reactivation_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.