Individual provider Active NPI

Peter Shane Burras, L.AC.,

  • Acupuncturist
  • Burlington, VT
National Provider Identifier
1801870688
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
091.0059682 Issued in VT
Practice address
47 Maple St Ste 214
Burlington, VT 05401-4956
Phone
(802) 347-1834
NPI assigned
Dec 5, 2005
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8977 CA
Acupuncturist 171100000X 091.0059682 VT Primary

Addresses

Primary practice location

47 Maple St Ste 214
Burlington, VT 05401-4956

Mailing address

47 Maple St Ste 214
Burlington, VT 05401-4956
Phone (802) 347-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC8977CAMDAcupuncturist
091.0059682VTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1801870688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAPLE ST STE 214",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014956",
            "telephone_number": "802-347-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAPLE ST STE 214",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014956",
            "telephone_number": "802-347-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRAS",
        "first_name": "PETER",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "L.AC.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8977",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0059682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.