Active NPI
Clayton D Burnett, DC
- Chiropractor
- Lake Charles, LA
National Provider Identifier
1780139725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1781
- Practice address
- 1210 E McNeese St
Lake Charles, LA 70607-4756 - Phone
- (337) 502-5303
- Fax
- (337) 479-2391
- NPI assigned
- Aug 19, 2016
- 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 | 1781 | LA | Primary |
Addresses
Primary practice location
1210 E McNeese St
Lake Charles, LA 70607-4756
Mailing address
1210 E McNeese St
Lake Charles, LA 70607-4756
Phone (337) 502-5303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1210 E McNeese St
Lake Charles, LA 70607-4756
Phone (337) 502-5303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1781 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burnett Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Center for Chiropractic and Rehabilitation Iowa, LLC | Chiropractor | Current | Accepting new patients |
| Koni B. Bridges, LCSW LLC | Past | Accepting new patients |
Locations
203 E Miller Ave
Ste F
Iowa, LA 70647
Phone (337) 502-5303
1210 E McNeese St
Lake Charles, LA 70607
Phone (337) 502-5303
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1346119518
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- Sulphur, LA
- NPI 1730677113
-
- Clinical Social Worker
- Sulphur, LA
- NPI 1770882847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1780139725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 E MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074756",
"telephone_number": "337-502-5303",
"fax_number": "337-479-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 E MCNEESE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074756",
"telephone_number": "337-502-5303",
"fax_number": "337-479-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "CLAYTON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.